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Missouri rates for HCPCS 21740

Repair Pectus Excavatum/Carinatum Open

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $5,389.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$859.27 / $1,029.57 / $3,010.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,224.00 / $4,490.00 / $14,717.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,017.96 / $1,318.00 / $2,000.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,015.96 / $1,447.39 / $2,270.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$859.27 / $1,519.19 / $5,187.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,060.73 / $1,504.01 / $11,477.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,209.00 / $4,432.00 / $12,989.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$973.03 / $1,342.99 / $2,188.60