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Missouri rates for HCPCS 28665

Closed treatment of interphalangeal joint dislocation; requiring anesthesia

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.20 / $138.63 / $209.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.85 / $159.54 / $246.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.59 / $190.77 / $305.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.90 / $232.93 / $1,150.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.24 / $188.73 / $314.13