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Missouri rates for HCPCS 27095

Injection procedure for hip arthrography; with anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.52 / $2,330.00 / $7,365.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$10,064.68 / $10,064.68 / $11,210.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.30 / $229.86 / $482.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,214.00 / $10,011.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.03 / $117.13 / $162.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.81 / $138.81 / $138.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.25 / $223.67 / $560.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.65 / $270.24 / $667.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.80 / $461.28 / $2,719.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.00 / $875.00 / $1,351.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.70 / $374.68 / $636.23