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Missouri rates for HCPCS 54690

Laparoscopy, surgical; orchiectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $5,495.41 / $9,549.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $794.33 / $1,949.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $4,677.35 / $8,912.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $812.83 / $1,318.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $676.08 / $1,071.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,709.64 / $10,715.19 / $22,908.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $933.25 / $1,513.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $3,019.95 / $26,302.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $1,000.00 / $4,897.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $4,265.80 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $812.83 / $1,621.81