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Missouri rates for HCPCS 24920

Amputation, arm through humerus; open, circular (guillotine)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.90 / $4,470.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$623.08 / $745.04 / $1,161.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,224.00 / $4,490.00 / $19,155.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.00 / $866.00 / $1,340.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.19 / $981.87 / $1,606.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$590.03 / $1,024.49 / $4,839.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.98 / $1,023.44 / $5,440.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,209.00 / $4,432.00 / $12,989.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.97 / $915.96 / $1,511.29