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Missouri rates for HCPCS 42810

Exc Branchial Cleft Cyst Confined Skn&Subq Tis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,110.00 / $3,697.00 / $8,775.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.24 / $380.14 / $870.55
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
$278.85 / $383.61 / $622.41
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
$286.77 / $429.28 / $768.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$282.99 / $456.88 / $1,742.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.10 / $757.07 / $2,915.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,694.00 / $2,959.00 / $5,620.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.29 / $536.92 / $924.03