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Missouri rates for HCPCS 63295

Osteoplastic reconstruction of dorsal spinal elements, following primary intraspinal procedure (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,110.00 / $5,560.00 / $13,151.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,232.00 / $6,492.00 / $15,862.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.24 / $521.34 / $8,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.00 / $7,904.00 / $11,489.00