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Missouri rates for HCPCS 67101

Rpr Retinal Dtchmnt Drg Subretinal Fluid Crtx

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.70 / $399.72 / $683.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.44 / $600.38 / $997.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.37 / $516.44 / $1,191.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.11 / $662.79 / $4,446.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.52 / $491.19 / $1,002.10