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Missouri rates for HCPCS 31755

Tracheoplasty; tracheopharyngeal fistulization, each stage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $3,351.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,592.40 / $1,729.38 / $1,947.08
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
$1,565.87 / $1,970.67 / $3,080.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,382.38 / $2,487.78 / $4,191.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,729.38 / $2,914.82 / $16,394.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,775.25 / $2,848.40 / $12,841.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,156.00 / $4,000.00 / $10,781.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,738.95 / $2,438.01 / $3,707.63