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Missouri rates for HCPCS 47701

Portoenterostomy (eg, Kasai procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,760.00 / $4,261.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,602.91 / $1,820.11 / $2,578.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,234.00 / $4,319.00 / $10,043.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,682.00 / $2,084.17 / $3,308.37
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
$1,564.13 / $2,327.07 / $3,800.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,532.07 / $2,350.42 / $4,713.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,724.69 / $3,134.12 / $12,510.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,189.00 / $3,300.00 / $11,186.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,651.12 / $2,388.84 / $4,144.09