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Missouri rates for HCPCS 21750

Closure of median sternotomy separation with or without debridement (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $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
$567.91 / $1,016.63 / $5,187.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$166.38 / $166.38 / $307.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,209.00 / $4,432.00 / $12,989.00