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Missouri rates for HCPCS 80155

Caffeine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.78 / $51.86 / $89.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.78 / $33.56 / $37.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.57 / $40.50 / $178.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.72 / $19.30 / $46.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.39 / $78.79 / $92.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.22 / $27.89 / $51.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.09 / $50.14 / $183.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.58 / $19.29 / $40.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.58 / $19.29 / $43.62