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Missouri rates for HCPCS 53661

Dilat Female Urt W/Suppository&/Instlj Sbsq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.00 / $4,261.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.77 / $68.19 / $116.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,852.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $67.01 / $118.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.07 / $84.21 / $179.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.22 / $101.38 / $1,078.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.70 / $142.77 / $970.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.00 / $760.00 / $1,300.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.45 / $99.00 / $179.16