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Missouri rates for HCPCS 52287

Cystourethroscopy Inj Chemodenervation Bladder

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.32 / $2,507.00 / $6,163.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.68 / $354.48 / $527.85
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.30 / $513.30 / $513.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$770.00 / $1,581.00 / $3,523.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.13 / $278.70 / $558.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.19 / $373.00 / $810.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.48 / $456.31 / $2,600.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.88 / $645.69 / $2,871.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.00 / $1,645.74 / $3,041.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.84 / $487.09 / $876.95