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Missouri rates for HCPCS 67113

Rpr Complex Retina Detach Vitrect &Membrane Peel

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,468.91 / $5,004.03 / $10,288.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,360.85 / $1,493.04 / $2,702.38
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,240.77 / $1,675.04 / $2,712.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,224.00 / $4,500.00 / $9,854.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,295.00 / $1,563.71 / $2,637.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,909.39 / $11,777.00 / $13,730.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,046.33 / $1,829.28 / $3,284.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,468.91 / $3,797.00 / $11,258.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$341.87 / $1,413.06 / $1,413.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,297.69 / $1,740.39 / $7,446.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,858.00 / $4,000.00 / $10,781.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.22 / $1,715.05 / $2,568.92