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Missouri rates for HCPCS 15572

Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$781.03 / $4,261.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.94 / $755.00 / $1,458.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,958.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.44 / $858.62 / $1,327.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$689.13 / $1,031.56 / $1,728.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$646.55 / $1,132.50 / $11,536.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$754.03 / $1,142.83 / $6,525.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,748.00 / $3,502.00 / $6,854.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$684.80 / $940.46 / $1,629.51