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Missouri rates for HCPCS 28645

Open Tx Metatarsophalangeal Joint Dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$643.25 / $3,697.00 / $7,996.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.96 / $544.46 / $824.75
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$709.20 / $709.20 / $709.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.51 / $519.71 / $820.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.20 / $719.99 / $1,222.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$462.79 / $774.96 / $3,006.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.70 / $991.40 / $4,876.64
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$815.58 / $815.58 / $815.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,742.00 / $2,566.31 / $5,200.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.39 / $766.90 / $1,254.44