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Missouri rates for HCPCS 71271

Computed Tomography Thorax Lw Dose Lng Ca Scr C-

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$54.84 / $65.91 / $116.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.47 / $161.87 / $364.32
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.28 / $63.36 / $149.31
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$88.39 / $102.93 / $220.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.35 / $104.55 / $116.74
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.88 / $56.82 / $76.17
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$62.41 / $62.41 / $153.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.96 / $162.62 / $287.33
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.72 / $59.17 / $106.61
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$83.23 / $99.88 / $176.80
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$58.64 / $58.64 / $58.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.51 / $196.42 / $286.64
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.57 / $73.06 / $121.45
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$76.72 / $125.17 / $195.45
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$371.04 / $479.84 / $479.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.01 / $187.47 / $915.52
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.89 / $66.47 / $323.73
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$95.28 / $121.44 / $591.79
Qualchoice
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$92.75 / $92.75 / $92.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.26 / $181.60 / $318.43
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.97 / $65.22 / $126.35
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$93.21 / $116.11 / $207.14