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Missouri rates for HCPCS 76499

Unlisted diagnostic radiographic procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.26 / $104.26 / $365.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.00 / $144.00 / $144.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.66 / $241.75 / $339.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.53 / $235.00 / $567.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,613.12 / $1,613.12 / $1,613.12