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Missouri rates for HCPCS 20501

Injection of sinus tract; diagnostic (sinogram)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.97 / $2,832.00 / $9,304.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,214.00 / $10,011.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.55 / $61.55 / $61.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.84 / $128.13 / $329.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.00 / $875.00 / $1,351.00