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Missouri rates for HCPCS 40843

Vestibuloplasty; posterior, bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,110.00 / $4,261.00 / $7,996.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.96 / $1,109.28 / $1,290.81
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
$820.00 / $1,155.06 / $1,886.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$852.74 / $1,430.70 / $2,409.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$938.12 / $1,610.57 / $6,095.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,233.18 / $2,647.95 / $8,857.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,644.00 / $2,874.00 / $5,813.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,048.20 / $1,491.50 / $2,699.52