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Missouri rates for HCPCS 44120

Entrc Rescj Small Intestine 1 Rescj & Anast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,476.94 / $4,261.00 / $12,154.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$562.80 / $562.80 / $738.47
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$225.12 / $225.12 / $295.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,234.00 / $4,319.00 / $10,043.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,530.00 / $2,530.00 / $2,530.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,088.30 / $1,603.52 / $3,500.00
Medica
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$2,406.42 / $4,456.67 / $4,456.67
Medica
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$601.61 / $1,114.17 / $1,114.17
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$300.80 / $557.08 / $557.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,189.00 / $3,300.00 / $11,186.00