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Missouri rates for HCPCS 25145

Sequestrectomy (eg, for osteomyelitis or bone abscess), forearm and/or wrist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,098.00 / $3,214.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.91 / $531.63 / $830.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,114.00 / $4,279.00 / $8,563.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.30 / $697.87 / $1,034.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.53 / $726.18 / $1,170.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$487.94 / $860.47 / $8,957.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.12 / $790.18 / $4,922.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,829.00 / $3,700.00 / $10,843.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.91 / $697.27 / $1,113.89