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Missouri rates for HCPCS 64402

*Injection, Anesthetic Agent; Facial Nerve

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.75 / $303.56 / $556.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $1,300.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,017.00 / $1,157.05 / $1,157.05