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Missouri rates for HCPCS 15574

Formation of direct or tubed pedicle, with or without transfer; forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands or feet

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$777.86 / $4,261.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.63 / $751.94 / $2,149.86
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
$693.88 / $886.83 / $1,370.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.26 / $1,035.26 / $1,720.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$643.78 / $1,139.24 / $5,764.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$781.33 / $1,159.02 / $6,576.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,123.00 / $2,054.00 / $3,004.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$740.91 / $958.71 / $1,745.00