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Missouri rates for HCPCS 88311

Decalcification procedure (List separately in addition to code for surgical pathology examination)

Facilitymedian $65 · 10th–90th $18$930%20%10th90th$65Professionalmedian $19 · 10th–90th $7$540%5%10%10th90th$19$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $91.20
Aetna
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$93.33 / $93.33 / $93.33
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $20.89 / $54.95
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.00 / $20.42 / $75.86
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$5.01 / $7.08 / $14.13
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $9.12 / $9.12
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$5.13 / $7.08 / $18.20
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$7.08 / $7.08 / $7.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $25.12 / $37.15
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$5.37 / $19.05 / $24.55
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$2.88 / $5.13 / $12.88
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $23.44 / $32.36
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.72 / $13.80 / $22.39
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$7.41 / $8.71 / $13.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $11.22 / $46.77
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$5.75 / $7.76 / $33.11
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$3.39 / $4.27 / $14.13
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $22.39 / $45.71
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Medica
Facility/Professional
Facility
Modifier
TC
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $28.18 / $131.83
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.76 / $17.38 / $95.50
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$5.01 / $10.00 / $95.50
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.07 / $5.75 / $9.77
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $21.88 / $43.65
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.76 / $12.88 / $26.30
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$5.25 / $8.91 / $16.22