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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
$1,698.24 / $4,265.80 / $8,511.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $4,677.35 / $8,912.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $1,023.29 / $6,165.95
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$165.96 / $309.03 / $309.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $3,548.13 / $11,748.98