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Missouri rates for HCPCS 67027

Impltj Intravitreal Drug Dlvr Sys Rmvl Vts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $5,389.00 / $12,154.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,224.00 / $4,500.00 / $9,854.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,083.25 / $11,777.00 / $13,730.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$936.55 / $3,077.00 / $26,542.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,858.00 / $4,000.00 / $11,258.00