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Missouri rates for HCPCS 19120

Excision Cyst/Aberrant Breast Tissue Open 1/> Lesion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$493.02 / $3,367.00 / $6,520.99
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,731.00 / $3,434.00 / $7,146.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.87 / $446.03 / $993.65
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.38 / $604.13 / $743.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,852.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.06 / $491.97 / $802.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.41 / $648.58 / $1,082.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$374.41 / $665.43 / $4,332.00
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,696.69 / $2,696.69 / $2,696.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.42 / $854.15 / $3,814.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,644.00 / $2,874.00 / $5,813.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.98 / $634.05 / $962.41