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Missouri rates for HCPCS 84402

Testosterone; free

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.56 / $91.73 / $172.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.10 / $21.90 / $24.71
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.74 / $12.74 / $12.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.47 / $26.74 / $117.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.58 / $21.00 / $68.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.49 / $53.44 / $141.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.77 / $25.99 / $38.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.92 / $40.90 / $121.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.70 / $18.87 / $30.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.70 / $15.28 / $33.01