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Missouri rates for HCPCS 28153

Resection Condyle Distal End Phalanx Each Toe

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$403.48 / $3,589.00 / $7,996.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.53 / $338.30 / $488.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,852.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.83 / $307.35 / $510.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.77 / $447.09 / $805.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$265.33 / $461.52 / $3,006.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.96 / $616.54 / $3,021.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,438.00 / $2,874.00 / $5,813.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.60 / $498.94 / $861.67