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Missouri rates for HCPCS 47715

Excision of choledochal cyst

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,435.20 / $4,261.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,229.38 / $1,395.70 / $2,189.46
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
$1,200.94 / $1,558.92 / $2,527.21
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
$1,143.80 / $1,756.92 / $2,933.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,177.04 / $1,720.55 / $3,614.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,290.72 / $2,401.58 / $9,613.04
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
$1,262.20 / $1,810.04 / $3,166.00