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Missouri rates for HCPCS 72255

Myelography, thoracic, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.68 / $193.67 / $888.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.07 / $114.36 / $147.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.91 / $135.00 / $286.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.31 / $236.87 / $1,861.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.97 / $167.56 / $299.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.68 / $182.07 / $477.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.13 / $179.93 / $1,186.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.62 / $145.25 / $230.26