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Missouri rates for HCPCS 77075

Radiologic Examination Osseous Survey Compl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$23.27 / $32.28 / $60.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.65 / $103.01 / $297.70
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.26 / $26.37 / $68.89
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$61.01 / $75.20 / $179.30
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.43 / $25.28 / $42.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.72 / $107.95 / $195.02
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.76 / $34.84 / $55.82
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.96 / $75.64 / $139.19
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$30.07 / $30.07 / $30.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.45 / $127.53 / $195.08
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.92 / $36.61 / $58.09
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$55.83 / $91.36 / $144.40
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$61.65 / $118.08 / $118.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.12 / $119.59 / $642.13
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.93 / $34.78 / $167.46
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$61.39 / $88.28 / $474.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.05 / $106.99 / $185.24
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.63 / $32.70 / $53.84
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$60.04 / $79.54 / $129.60