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Missouri rates for HCPCS 78140

Labeled red cell sequestration, differential organ/tissue (eg, splenic and/or hepatic)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.34 / $196.26 / $466.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.85 / $102.96 / $119.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.86 / $144.16 / $268.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$262.08 / $362.71 / $1,345.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.46 / $172.02 / $246.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.12 / $199.80 / $1,229.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.20 / $164.82 / $1,031.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.38 / $149.00 / $278.07