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Missouri rates for HCPCS 75953

Plmt Xtn Prosth Evasc Rpr Infrarenal Rs&I

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.22 / $152.22 / $152.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.83 / $166.50 / $1,821.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,272.00 / $5,272.00 / $5,272.00