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Missouri rates for HCPCS 67570

Optic nerve decompression (eg, incision or fenestration of optic nerve sheath)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $5,389.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,005.20 / $1,419.71 / $1,959.16
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
$1,055.00 / $1,306.00 / $2,072.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$730.00 / $730.00 / $1,756.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,025.19 / $1,477.71 / $3,109.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,334.71 / $3,258.49 / $26,542.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,101.09 / $1,509.64 / $9,483.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,748.00 / $3,502.00 / $6,854.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,077.30 / $1,507.16 / $2,383.46