go back

Missouri rates for HCPCS 66250

Revj/Rpr Oprative Wound Anterior Segment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$843.09 / $3,213.00 / $7,365.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.68 / $664.29 / $1,150.81
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.23 / $433.23 / $702.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.00 / $627.73 / $921.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$517.00 / $517.00 / $1,135.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.92 / $762.97 / $1,559.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$614.61 / $1,534.84 / $16,394.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$680.53 / $978.10 / $5,589.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,438.00 / $2,833.00 / $5,813.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.41 / $895.97 / $1,500.42