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Missouri rates for HCPCS 54865

Exploration of epididymis, with or without biopsy

Facilitymedian $3,715 · 10th–90th $1,479–$7,7620%5%10%10th90th$3,715Professionalmedian $427 · 10th–90th $331–$9120%10%10th90th$427$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $2,570.40 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $426.58 / $933.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $4,570.88 / $8,317.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $426.58 / $707.95
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $380.19 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $478.63 / $776.25
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $1,659.59 / $12,022.64
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $501.19 / $2,691.53
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $2,818.38 / $4,365.16
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $436.52 / $812.83