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Missouri rates for HCPCS 76965

Ultrasonic guidance for interstitial radioelement application

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$58.33 / $90.69 / $149.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.59 / $92.17 / $318.77
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.32 / $64.06 / $287.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.38 / $108.72 / $297.99
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.56 / $81.90 / $141.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.93 / $129.61 / $1,006.18
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.19 / $90.97 / $254.30
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$158.69 / $305.79 / $305.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.58 / $138.13 / $1,748.00
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.19 / $84.24 / $496.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.73 / $113.04 / $234.22
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.69 / $76.81 / $139.35