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Missouri rates for HCPCS 49062

Drainage of extraperitoneal lymphocele to peritoneal cavity, open

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,110.00 / $4,261.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.01 / $807.06 / $1,132.99
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
$732.40 / $907.79 / $1,457.93
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
$679.37 / $1,005.71 / $1,674.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$701.73 / $1,055.14 / $2,753.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$754.32 / $1,351.04 / $5,578.64
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
$726.92 / $1,031.97 / $1,820.27