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Missouri rates for HCPCS 28260

Capsulotomy, midfoot; medial release only (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$706.53 / $3,697.00 / $8,000.00
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
$539.05 / $873.40 / $3,006.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$247.81 / $247.81 / $247.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,644.00 / $2,874.00 / $5,813.00