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Missouri rates for HCPCS 43763

Perq Replacement Gtube Req Revj Gstrst Trc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.36 / $2,507.00 / $7,365.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.09 / $304.01 / $418.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$862.00 / $1,785.00 / $4,773.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.85 / $241.69 / $511.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,652.00 / $1,652.00 / $1,652.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.63 / $218.00 / $605.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.69 / $297.11 / $734.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.51 / $613.91 / $2,453.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.00 / $760.00 / $1,351.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.67 / $403.12 / $732.65