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Missouri rates for HCPCS 29804

Arthroscopy, temporomandibular joint, surgical

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$853.47 / $4,725.00 / $10,923.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,294.00 / $5,881.00 / $16,201.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,813.00 / $9,841.00 / $14,444.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$553.16 / $971.19 / $8,957.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,748.00 / $4,449.00 / $7,851.00