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Missouri rates for HCPCS 42200

Palatop Cl Palate Soft&/Hard Palate Only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,070.00 / $4,716.00 / $8,204.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$849.41 / $971.02 / $2,420.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,180.00 / $4,517.00 / $10,043.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$893.00 / $1,103.19 / $1,749.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,559.00 / $3,559.00 / $3,559.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$817.90 / $1,176.15 / $2,040.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$856.85 / $1,397.30 / $6,980.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$902.31 / $1,700.17 / $9,862.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,285.00 / $4,490.00 / $10,618.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.42 / $1,253.54 / $2,184.21