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Missouri rates for HCPCS 23155

Excision or curettage of bone cyst or benign tumor of proximal humerus; with autograft (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,110.00 / $5,144.00 / $9,823.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.89 / $810.49 / $1,263.85
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
$754.91 / $956.66 / $1,483.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$755.51 / $1,070.35 / $1,721.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$743.18 / $1,215.74 / $19,913.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$787.53 / $1,111.16 / $5,920.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,829.00 / $3,700.00 / $23,874.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$746.08 / $986.38 / $1,639.06