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Missouri rates for HCPCS 23620

Closed treatment of greater humeral tuberosity fracture; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.00 / $2,598.00 / $7,365.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$168.76 / $176.04 / $236.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.01 / $269.32 / $480.22
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.20 / $354.20 / $354.20
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
$237.15 / $294.42 / $440.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.00 / $345.69 / $573.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.82 / $354.00 / $755.00
Medica
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$874.23 / $874.23 / $874.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.49 / $406.49 / $2,084.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.00 / $815.00 / $1,351.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.21 / $333.90 / $567.99