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Missouri rates for HCPCS 83992

Phencyclidine (PCP)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $22.91 / $22.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $38.90 / $38.90
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $26.30 / $30.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $20.42 / $44.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $28.84 / $33.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $19.50 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $23.44 / $40.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $70.79 / $165.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $18.20 / $42.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $43.65 / $43.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $18.20 / $42.66