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Missouri rates for HCPCS 41850

Destruction Lesion Dentoalveolar Structures

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,110.00 / $2,782.00 / $7,365.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.08 / $129.33 / $171.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$862.00 / $1,785.00 / $4,773.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.39 / $140.41 / $228.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,530.00 / $2,530.00 / $2,530.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.91 / $165.92 / $267.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.93 / $158.16 / $1,697.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.36 / $198.18 / $898.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,216.00 / $2,332.00 / $3,041.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.00 / $171.65 / $303.37