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Missouri rates for HCPCS 38790

Injection procedure; lymphangiography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,110.00 / $3,255.00 / $12,154.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,506.50 / $2,506.50 / $5,283.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$862.00 / $1,818.00 / $4,958.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.10 / $92.10 / $92.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.72 / $119.36 / $875.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.00 / $875.00 / $1,351.00