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Missouri rates for HCPCS 64772

Transection or avulsion of other spinal nerve, extradural

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$738.50 / $3,131.00 / $7,365.00
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
$513.82 / $842.00 / $5,246.20
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$143.22 / $143.22 / $497.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,644.00 / $2,874.00 / $5,813.00