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Missouri rates for HCPCS 61651

Evasc Intracranial Prolng Admn Rx Agent Art Addl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,110.00 / $5,389.00 / $13,151.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$862.00 / $2,251.00 / $7,836.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,730.00 / $18,730.00 / $18,730.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.63 / $381.01 / $11,700.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,367.00 / $4,855.00 / $15,920.00