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Missouri rates for HCPCS 67875

Temporary closure of eyelids by suture (eg, Frost suture)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.98 / $2,507.00 / $7,365.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $138.75 / $224.91
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
$91.00 / $119.51 / $176.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.00 / $386.00 / $549.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.39 / $174.38 / $383.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $263.04 / $2,650.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.72 / $227.80 / $2,809.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,216.00 / $2,306.00 / $3,071.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.63 / $210.58 / $355.65