go back

Missouri rates for HCPCS 82415

Chloramphenicol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.02 / $17.03 / $29.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.77 / $11.02 / $13.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.67 / $13.30 / $58.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.26 / $10.56 / $33.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.59 / $26.59 / $70.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.31 / $13.00 / $18.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.40 / $20.35 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $9.38 / $15.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $8.44 / $20.91