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Missouri rates for HCPCS 24931

Amputation, arm through humerus; with implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,110.00 / $4,470.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$788.51 / $943.16 / $1,469.24
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
$793.00 / $1,056.35 / $1,595.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$858.73 / $1,156.65 / $2,043.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.43 / $1,250.00 / $5,187.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$843.64 / $1,250.10 / $6,870.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,913.00 / $4,432.00 / $12,989.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$826.11 / $1,140.15 / $1,921.81