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Missouri rates for HCPCS 75803

Lymphangiography, extremity only, bilateral, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$342.24 / $1,389.37 / $2,731.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.30 / $1,276.33 / $1,551.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.63 / $352.28 / $703.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$531.04 / $769.65 / $3,513.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.11 / $346.59 / $540.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$304.60 / $1,389.37 / $3,420.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.80 / $1,768.03 / $2,670.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.02 / $1,671.96 / $2,779.67