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Missouri rates for HCPCS 0197U

Red cell antigen (Landsteiner-Wiener blood group) genotyping (LW), gene analysis, ICAM4 (intercellular adhesion molecule 4 [Landsteiner-Wiener blood group]) exon 1

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $309.03 / $354.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $158.49 / $199.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $131.83 / $295.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $354.81 / $436.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $213.80 / $213.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $223.87 / $870.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $112.20 / $912.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $186.21 / $223.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $112.20 / $204.17