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Missouri rates for HCPCS 77470

Special treatment procedure (eg, total body irradiation, hemibody radiation, per oral or endocavitary irradiation)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$103.73 / $128.09 / $238.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.50 / $179.81 / $750.93
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$90.92 / $114.87 / $368.29
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.29 / $42.02 / $279.72
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.86 / $164.86 / $225.74
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$82.18 / $120.01 / $166.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.12 / $186.18 / $508.65
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$104.68 / $131.78 / $210.04
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.44 / $48.81 / $298.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.25 / $215.58 / $541.10
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$100.80 / $149.15 / $230.34
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.96 / $50.56 / $411.57
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$250.54 / $722.52 / $722.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.78 / $206.93 / $3,014.42
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$106.28 / $134.13 / $1,056.82
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.17 / $49.36 / $2,488.46
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.60 / $259.60 / $259.60
Qualchoice
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$195.29 / $195.29 / $195.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.94 / $188.53 / $438.13
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$105.26 / $132.72 / $235.01
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.17 / $38.65 / $161.82