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Missouri rates for HCPCS 67911

Correction of lid retraction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.00 / $4,470.00 / $8,000.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$5,283.00 / $5,283.00 / $5,283.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.08 / $617.90 / $1,258.38
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
$472.79 / $631.92 / $933.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$591.00 / $591.00 / $1,135.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.63 / $653.67 / $1,203.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$617.90 / $2,237.00 / $26,542.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.67 / $672.59 / $6,211.45
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
$466.67 / $640.04 / $1,076.95