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Missouri rates for HCPCS 49999

Unlisted Procedure Abdomen Peritoneum & Omentum

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,184.00 / $2,507.00 / $7,365.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.19 / $630.83 / $1,686.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$862.00 / $1,785.00 / $4,773.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.90 / $814.00 / $1,022.68
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
$55.00 / $1,697.00 / $2,954.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,968.00 / $3,968.00 / $3,968.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.00 / $2,332.00 / $3,041.00