go back

Missouri rates for HCPCS 75803

Lymphangiography, extremity only, bilateral, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $1,778.28 / $2,754.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,288.25 / $1,737.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $346.74 / $616.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $302.00 / $549.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $234.42 / $457.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $676.08 / $3,235.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $331.13 / $588.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $1,412.54 / $3,548.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $1,778.28 / $2,454.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,380.38 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $1,621.81 / $2,691.53