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Missouri rates for HCPCS 54620

Fixation Contralateral Testis Separate Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,704.00 / $3,697.00 / $7,996.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.39 / $342.92 / $848.09
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
$299.66 / $363.84 / $610.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.14 / $426.60 / $781.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.30 / $630.53 / $22,240.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.81 / $552.88 / $2,227.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,644.00 / $2,874.00 / $5,813.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.14 / $389.41 / $822.60