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Missouri rates for HCPCS 88304

Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartholin's gland cyst Bone fragment(s), other than pathologic fracture Bursa/synovial cyst Carpal tunnel tissue Cartilage, shavings Cholesteatoma Colon, colostomy stoma Conjunctiva - biopsy/pterygium Cornea Diverticulum - esophagus/small intestine Dupuytren's contracture tissue Femoral head, other than fracture Fissure/fistula Foreskin, other than newborn Gallbladder Ganglion cyst Hematoma Hemorrhoids Hydatid of Morgagni Intervertebral disc Joint, loose body Meniscus Mucocele, salivary Neuroma - Morton's/traumatic Pilonidal cyst/sinus Polyps, inflammatory - nasal/sinusoidal Skin - cyst/tag/debridement Soft tissue, debridement Soft tissue, lipoma Spermatocele Tendon/tendon sheath Testicular appendage Thrombus or embolus Tonsil and/or adenoids Varicocele Vas deferens, other than sterilization Vein, varicosity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $169.82 / $371.54
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$269.15 / $269.15 / $331.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $79.43 / $288.40
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.33 / $23.99 / $77.62
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.88 / $34.67 / $190.55
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $36.31 / $41.69
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$4.68 / $10.00 / $15.14
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$13.49 / $26.92 / $29.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $50.12 / $112.20
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.00 / $18.20 / $60.26
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.39 / $35.48 / $61.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $48.98 / $100.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.77 / $13.18 / $20.42
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.54 / $35.48 / $77.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $29.51 / $144.54
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$5.25 / $9.33 / $128.82
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$13.80 / $24.55 / $120.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $53.70 / $131.83
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Medica
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$165.96 / $165.96 / $165.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $74.13 / $363.08
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.08 / $15.85 / $190.55
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.78 / $52.48 / $269.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.37 / $15.49 / $20.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $40.74 / $107.15
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.61 / $11.75 / $27.54
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.78 / $28.84 / $79.43