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Missouri rates for HCPCS 22101

Prtl Exc Pst Vrt Intrnsc B1y Les 1 Vrt Sgm Thrc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.00 / $4,908.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.33 / $880.37 / $1,412.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$811.00 / $987.44 / $1,525.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$822.24 / $1,154.18 / $1,910.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$809.96 / $1,320.56 / $5,717.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$834.71 / $1,177.33 / $6,395.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,426.00 / $4,432.00 / $12,989.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$809.66 / $1,134.10 / $1,874.04