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Missouri rates for HCPCS 24930

Amputation, arm through humerus; re-amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$931.02 / $4,470.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.50 / $785.06 / $1,224.17
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$966.83 / $966.83 / $966.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,224.00 / $4,490.00 / $14,717.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$732.00 / $909.37 / $1,421.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.21 / $1,035.54 / $1,685.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.48 / $1,068.64 / $5,097.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$766.61 / $1,083.01 / $5,732.88
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
$726.26 / $968.35 / $1,668.57