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Missouri rates for HCPCS 53621

Dilat Urethral Strix Filiform & Follwr Male Sbsq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.72 / $2,832.00 / $7,365.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.45 / $113.71 / $186.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,852.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.94 / $117.37 / $213.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.07 / $155.32 / $317.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.43 / $186.96 / $1,218.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.81 / $285.24 / $1,206.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.00 / $760.00 / $1,300.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.63 / $195.02 / $352.52