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Missouri rates for HCPCS 55874

Transperineal Plmt Biodegradable Matrl 1/Mlt Njx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$301.18 / $2,932.56 / $7,365.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.08 / $498.07 / $4,452.72
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
$161.94 / $681.06 / $5,177.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.58 / $430.00 / $6,256.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.08 / $2,932.56 / $7,096.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,471.72 / $6,273.05 / $20,949.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,209.00 / $4,390.00 / $12,989.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,107.17 / $4,157.97 / $9,395.60