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Missouri rates for HCPCS 65930

Removal of blood clot, anterior segment of eye

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,760.00 / $5,389.00 / $9,823.00
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
$831.00 / $831.00 / $1,344.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$711.47 / $1,981.00 / $26,542.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,438.00 / $2,833.00 / $5,813.00