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Missouri rates for HCPCS 15576

Formation of direct or tubed pedicle, with or without transfer; eyelids, nose, ears, lips, or intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$692.17 / $4,261.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.58 / $692.17 / $1,500.38
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
$615.86 / $776.56 / $1,184.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.60 / $911.56 / $1,531.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$573.00 / $1,013.97 / $5,764.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$697.22 / $1,026.30 / $5,828.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,216.00 / $1,808.00 / $3,071.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.53 / $845.67 / $1,483.10