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Missouri rates for HCPCS 80186

Phenytoin; free

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $22.91 / $30.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $12.02 / $26.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $13.80 / $47.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $12.30 / $36.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $28.18 / $30.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $25.70 / $77.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $14.13 / $19.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.30 / $23.99 / $81.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $8.71 / $17.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $13.80 / $16.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $8.32 / $16.60