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Missouri rates for HCPCS 48540

Internal anastomosis of pancreatic cyst to gastrointestinal tract; Roux-en-Y

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,580.76 / $4,261.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,207.26 / $1,371.01 / $1,936.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,232.00 / $4,319.00 / $10,043.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,194.25 / $1,552.45 / $2,494.73
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
$1,153.28 / $1,733.01 / $2,890.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,189.00 / $1,715.02 / $3,608.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,290.29 / $2,370.73 / $9,422.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.00 / $3,300.00 / $11,186.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,242.06 / $1,809.29 / $3,113.12