go back

Missouri rates for HCPCS 84446

Tocopherol alpha (Vitamin E)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $25.12 / $81.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $12.88 / $47.86
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $7.41 / $14.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $14.13 / $50.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $12.30 / $36.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $28.84 / $32.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.62 / $26.92 / $79.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $14.45 / $20.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.30 / $25.12 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $8.51 / $17.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.76 / $14.13 / $17.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $8.51 / $17.38