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Missouri rates for HCPCS 54840

Excision of spermatocele, with or without epididymectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$455.42 / $4,261.00 / $10,043.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$344.51 / $682.45 / $13,209.65
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,717.50 / $4,717.50 / $4,717.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,644.00 / $2,874.00 / $5,813.00