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Missouri rates for HCPCS 0258U

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,123.75 / $4,940.39 / $8,526.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,123.75 / $3,197.25 / $3,564.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,500.00 / $3,724.41 / $6,509.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,061.76 / $7,096.98 / $8,759.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,265.14 / $4,265.14 / $4,265.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,123.75 / $4,410.00 / $17,456.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,543.50 / $2,205.00 / $18,301.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,543.50 / $2,205.00 / $4,156.43