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Missouri rates for HCPCS 65880

Severing Ads Ant Seg Incal Spx Corneovitreal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $5,389.00 / $12,154.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$730.00 / $730.00 / $2,318.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$727.33 / $1,981.00 / $26,542.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,644.00 / $2,874.00 / $5,813.00