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Missouri rates for HCPCS 25922

Disarticulation Thru Wrist Sec Closure/Scar Revj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.00 / $4,261.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.87 / $658.02 / $1,028.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.10 / $694.00 / $1,075.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.92 / $812.34 / $1,368.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$590.29 / $981.70 / $5,043.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.54 / $862.76 / $4,814.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,644.00 / $2,874.00 / $5,813.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.85 / $793.23 / $1,362.15