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Missouri rates for HCPCS 20101

Exploration of penetrating wound (separate procedure); chest

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $4,265.80 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $446.68 / $1,148.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $4,677.35 / $8,912.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $354.81 / $707.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $512.86 / $794.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $436.52 / $912.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $501.19 / $1,584.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $724.44 / $4,570.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,412.54 / $3,019.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $407.38 / $741.31