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Missouri rates for HCPCS 83864

Mucopolysaccharides, acid, quantitative

Facilitymedian $39 · 10th–90th $27–$1350%10%10th90th$39Professionalmedian $24 · 10th–90th $11–$480%10%10th90th$24$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $48.98 / $263.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $23.99 / $47.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $28.18 / $100.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $21.88 / $56.23
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $38.90 / $44.67
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $53.70 / $109.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $26.92 / $51.29
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $50.12 / $134.90
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $16.98 / $30.90
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $28.18 / $33.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $16.98 / $33.11