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Missouri rates for HCPCS 30210

Displacement Therapy Proetz Type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.49 / $138.46 / $167.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.46 / $122.02 / $179.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.96 / $188.12 / $321.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.02 / $283.82 / $1,128.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.38 / $205.84 / $317.01