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Missouri rates for HCPCS 28202

Repair, tendon, flexor, foot; secondary with free graft, each tendon (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$622.33 / $4,261.00 / $7,996.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$433.85 / $750.56 / $3,006.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,438.00 / $2,833.00 / $5,813.00