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Missouri rates for HCPCS 42225

Palatop Cl Palate Attachment Pharyngeal Flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,760.00 / $5,389.00 / $9,823.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$902.57 / $1,026.99 / $1,509.49
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
$911.59 / $1,142.61 / $1,789.30
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
$817.87 / $1,220.11 / $2,091.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$907.87 / $1,475.78 / $3,828.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$946.20 / $1,745.19 / $7,375.48
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
$917.25 / $1,319.88 / $2,259.86