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Missouri rates for HCPCS 77293

Respiratory motion management simulation (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$99.53 / $123.90 / $234.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.07 / $417.25 / $1,012.62
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$86.57 / $103.88 / $311.75
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$250.51 / $307.27 / $763.50
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.13 / $287.13 / $431.43
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$80.65 / $116.95 / $158.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.58 / $512.29 / $798.05
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$103.29 / $121.53 / $208.87
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$313.29 / $378.10 / $597.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.55 / $573.62 / $901.01
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.50 / $145.00 / $226.65
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$289.05 / $431.26 / $674.36
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$246.31 / $479.89 / $479.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.62 / $540.27 / $2,670.75
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.06 / $129.59 / $657.16
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$313.56 / $400.09 / $2,013.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.84 / $537.23 / $925.84
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.06 / $129.59 / $224.48
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$301.81 / $409.28 / $691.45