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Missouri rates for HCPCS 42955

Pharyngostomy Fstlj Pharynx Xtrnl Feeding

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,110.00 / $3,214.00 / $7,365.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$703.07 / $795.43 / $1,158.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,114.00 / $4,050.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$623.17 / $876.75 / $1,371.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,213.00 / $2,213.00 / $2,213.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.91 / $986.06 / $1,655.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$703.07 / $1,143.03 / $2,783.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.98 / $1,357.40 / $5,632.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.00 / $2,332.00 / $3,041.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$716.99 / $1,052.94 / $1,749.29