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Missouri rates for HCPCS 54162

Lysis or excision of penile post-circumcision adhesions

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $2,951.21 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $302.00 / $588.84
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $173.78 / $173.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,819.70 / $4,168.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $281.84 / $457.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $275.42 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $316.23 / $524.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $562.34 / $16,218.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $436.52 / $1,905.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $2,398.83 / $4,677.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $295.12 / $575.44