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Missouri rates for HCPCS 82104

Alpha-1-antitrypsin; phenotype

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.03 / $33.54 / $136.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.29 / $12.58 / $13.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.46 / $15.18 / $66.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.14 / $11.93 / $38.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.14 / $30.33 / $80.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.36 / $14.75 / $21.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.61 / $23.77 / $97.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.07 / $10.30 / $18.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.86 / $20.20 / $21.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.07 / $11.81 / $23.85