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Missouri rates for HCPCS 25920

Disarticulation through wrist;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$869.53 / $4,470.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.54 / $742.64 / $1,948.49
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
$671.10 / $819.67 / $1,273.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.59 / $953.32 / $1,544.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$559.58 / $1,022.18 / $4,250.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$693.09 / $987.16 / $5,425.44
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
$665.39 / $893.09 / $1,508.86