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Missouri rates for HCPCS 22904

Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; less than 5 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,257.88 / $3,351.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$869.95 / $1,061.24 / $1,167.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,852.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$996.17 / $1,243.23 / $2,100.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.38 / $1,553.65 / $2,604.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$791.12 / $1,583.26 / $3,257.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,137.54 / $1,644.26 / $7,648.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,216.00 / $2,332.00 / $3,071.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,101.82 / $1,466.41 / $2,386.69