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Missouri rates for HCPCS 80377

Drug/Substance Definitive Qual/Quant Nos 7/More

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.17 / $14.50 / $48.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.09 / $22.91 / $32.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.06 / $112.04 / $112.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.16 / $13.88 / $25.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.16 / $13.91 / $28.73