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Missouri rates for HCPCS 19112

Excision of lactiferous duct fistula

Facilitymedian $2,692 · 10th–90th $479–$5,6230%5%10th90th$2,692Professionalmedian $407 · 10th–90th $275–$8130%10%20%10th90th$407$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $3,548.13 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $407.38 / $831.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $1,819.70 / $4,168.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $407.38 / $691.83
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $501.19 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $489.78 / $891.25
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $741.31 / $26,302.68
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $676.08 / $3,388.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $2,818.38 / $4,365.16
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $436.52 / $691.83