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Missouri rates for HCPCS 65286

Rpr Lac Appl Tissue Glue Wound Cornea&/Sclera

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$782.63 / $3,213.00 / $7,365.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.18 / $719.47 / $1,007.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.73 / $462.73 / $462.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.00 / $569.42 / $823.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.00 / $386.00 / $478.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.73 / $717.28 / $1,458.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,068.13 / $3,237.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$628.72 / $907.90 / $5,189.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$825.00 / $1,808.00 / $3,071.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.30 / $813.77 / $1,329.45