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Missouri rates for HCPCS 0164T

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,106.48 / $3,131.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.61 / $853.82 / $1,109.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.12 / $675.24 / $1,348.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,531.79 / $1,892.47 / $3,014.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,486.61 / $1,486.61 / $1,978.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$560.61 / $961.77 / $1,725.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.78 / $1,030.99 / $6,428.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.00 / $815.00 / $1,351.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.88 / $785.60 / $1,710.64