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Missouri rates for HCPCS 42890

Limited Pharyngectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,760.00 / $5,229.00 / $12,154.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,114.00 / $4,050.00 / $9,663.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,939.00 / $4,939.00 / $4,939.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,312.39 / $2,113.33 / $5,947.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,285.00 / $4,000.00 / $9,817.00