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Missouri rates for HCPCS 20150

Excision of epiphyseal bar, with or without autogenous soft tissue graft obtained through same fascial incision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,110.00 / $4,261.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$847.74 / $1,014.15 / $2,425.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$931.58 / $1,168.83 / $1,818.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$929.30 / $1,325.37 / $2,207.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$799.83 / $1,379.04 / $4,763.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.54 / $1,369.39 / $7,387.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,156.00 / $4,000.00 / $10,781.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$917.49 / $1,280.25 / $2,074.39