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Missouri rates for HCPCS 39540

Repair, diaphragmatic hernia (other than neonatal), traumatic; acute

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,039.67 / $4,470.00 / $12,154.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,224.00 / $4,500.00 / $12,235.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$763.61 / $1,189.20 / $6,890.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.00 / $3,233.00 / $11,343.00