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Missouri rates for HCPCS 67115

Release of encircling material (posterior segment)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,098.00 / $3,362.00 / $11,774.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.21 / $550.65 / $760.61
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
$424.00 / $564.41 / $818.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,318.28 / $11,777.00 / $13,730.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.74 / $581.29 / $1,190.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.65 / $1,981.00 / $16,394.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.43 / $596.90 / $3,718.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,644.00 / $2,959.00 / $12,680.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.47 / $579.41 / $994.84