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Missouri rates for HCPCS 77263

Therapeutic radiology treatment planning; complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.13 / $248.85 / $373.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.13 / $233.92 / $771.71
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.80 / $189.55 / $254.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.00 / $250.00 / $250.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.25 / $199.99 / $316.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.91 / $230.43 / $345.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.23 / $257.47 / $538.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.92 / $218.38 / $2,519.00
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.26 / $305.26 / $305.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.05 / $201.73 / $357.83