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Missouri rates for HCPCS 75954

Evasc Rpr Iliac Art W/Ilio-Iliac Prosth Rs&I

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.70 / $252.70 / $252.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.49 / $325.43 / $1,524.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,807.00 / $5,807.00 / $5,807.00