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Missouri rates for HCPCS 38200

Injection procedure for splenoportography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.00 / $3,232.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.34 / $122.66 / $180.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$862.00 / $1,818.00 / $4,958.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.91 / $174.32 / $276.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.13 / $147.13 / $147.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.88 / $196.17 / $347.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.34 / $188.42 / $875.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.59 / $196.00 / $1,870.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.00 / $875.00 / $1,351.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.27 / $160.41 / $293.61