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Missouri rates for HCPCS 20697

App Mltpln Uni Xtrnl Fix Strtctc Adjmt Exchange

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,704.00 / $4,261.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,524.39 / $1,810.06 / $3,149.24
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
$1,299.41 / $1,957.68 / $3,093.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,472.42 / $2,277.67 / $3,905.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$899.00 / $1,922.00 / $3,971.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,616.75 / $2,568.73 / $13,034.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$899.00 / $1,632.00 / $2,675.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,616.75 / $2,315.52 / $3,882.71