go back

Missouri rates for HCPCS 54692

Laparoscopy Orchiopexy Intra-Abdominal Testis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,507.00 / $6,284.00 / $13,095.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.07 / $877.12 / $2,142.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.40 / $936.77 / $1,544.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,806.00 / $10,806.00 / $22,871.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$671.88 / $1,137.80 / $1,934.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$803.90 / $1,592.49 / $10,160.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$790.36 / $1,402.89 / $5,625.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,209.00 / $4,390.00 / $12,989.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$790.36 / $982.89 / $2,077.58