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Missouri rates for HCPCS 84275

Sialic acid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.69 / $18.05 / $31.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.42 / $11.69 / $14.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.44 / $14.11 / $62.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.64 / $11.08 / $36.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.86 / $28.20 / $74.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $13.70 / $19.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.10 / $21.57 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $9.94 / $16.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $9.94 / $17.42