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Missouri rates for HCPCS 64635

Dstr Nrolytc Agnt Parverteb Fct Sngl Lmbr/Sacral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.50 / $1,802.68 / $6,970.72
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,357.41 / $2,930.00 / $5,493.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.83 / $365.97 / $999.76
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$293.02 / $540.41 / $1,974.32
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.49 / $228.49 / $246.96
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$342.73 / $418.78 / $723.08
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
$199.53 / $250.55 / $402.76
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$299.30 / $375.82 / $604.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.37 / $432.93 / $766.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.76 / $461.12 / $3,018.00
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,628.50 / $4,578.00 / $5,660.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.22 / $725.13 / $3,287.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,410.06 / $2,833.00 / $5,813.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.16 / $615.55 / $921.53