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Missouri rates for HCPCS 28200

Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$596.29 / $3,434.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.83 / $413.57 / $853.01
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
$301.48 / $394.00 / $624.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.31 / $538.38 / $962.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.79 / $574.32 / $3,006.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.34 / $738.42 / $3,679.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,438.00 / $2,833.00 / $5,813.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.11 / $640.29 / $1,081.01