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Missouri rates for HCPCS 54162

Lysis/Excision Penile Postcircumcision Adhesions

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.25 / $3,120.00 / $5,691.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.72 / $262.82 / $562.94
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
$199.27 / $278.35 / $463.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.63 / $336.52 / $579.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.38 / $418.63 / $4,332.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.36 / $570.51 / $1,922.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,742.00 / $2,849.00 / $4,790.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.70 / $339.20 / $792.91