go back

Missouri rates for HCPCS 25607

Optx Dstl Radl X-Artic Fx/Epiphysl Sep

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$902.19 / $4,858.00 / $10,985.62
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$6,576.00 / $6,576.00 / $6,576.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,234.00 / $4,587.00 / $10,946.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,758.00 / $12,159.00 / $15,918.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$689.01 / $1,133.14 / $19,067.25
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$192.60 / $192.60 / $2,558.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,426.00 / $4,463.00 / $12,989.00