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Missouri rates for HCPCS 76885

Us Inft Hips R-T Img Dynamic Req Phys/Qhp Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.26 / $185.29 / $471.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.07 / $114.43 / $535.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.66 / $127.97 / $197.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.10 / $271.94 / $371.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.15 / $162.85 / $301.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.36 / $148.57 / $267.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.24 / $170.52 / $740.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.95 / $112.55 / $185.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.50 / $153.72 / $287.27