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Missouri rates for HCPCS 63053

Lam Facetec/Foramot Drg Arthrd Lmbr Ea Addl Sgm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,110.00 / $3,232.00 / $12,154.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,114.00 / $5,617.00 / $12,691.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.15 / $339.66 / $5,000.00
Medica
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$342.53 / $342.53 / $650.92
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$54.80 / $54.80 / $104.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.00 / $1,218.00 / $9,475.00