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Missouri rates for HCPCS 21742

Repair Pectus Excavatm/Carinatm Minly W/O Thrsc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,760.00 / $5,144.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,016.81 / $1,215.99 / $1,339.79
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
$880.93 / $1,142.00 / $1,779.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,108.73 / $1,531.87 / $2,636.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$939.78 / $1,459.19 / $4,813.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.33 / $1,334.49 / $9,587.96
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
$1,023.33 / $1,295.52 / $2,063.11