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Missouri rates for HCPCS 76886

Us Inft Hips R-T Img Lmtd Static Phys/Qhp Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.26 / $144.13 / $633.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.89 / $96.09 / $258.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.78 / $112.96 / $184.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.10 / $213.95 / $268.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.70 / $124.41 / $220.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.97 / $130.37 / $218.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.98 / $128.62 / $652.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.23 / $115.58 / $192.59