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Missouri rates for HCPCS 84403

Testosterone; total

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $61.66 / $204.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $33.88 / $87.10
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.13 / $12.88 / $25.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $25.70 / $91.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $22.39 / $67.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $52.48 / $58.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $48.98 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $26.30 / $37.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $42.66 / $123.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $15.49 / $31.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $25.70 / $31.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $15.49 / $31.62