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Missouri rates for HCPCS 20969

Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,760.00 / $5,389.00 / $12,154.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,224.00 / $4,490.00 / $14,717.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,043.74 / $3,802.13 / $6,661.33
Medica
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$4,307.78 / $4,307.78 / $7,694.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,855.74 / $4,000.00 / $9,817.00