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Missouri rates for HCPCS 90999

Unlisted dialysis procedure, inpatient or outpatient

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.00 / $588.00 / $588.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.00 / $999.44 / $7,768.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.00 / $545.27 / $854.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $1,020.00 / $1,020.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$713.74 / $790.86 / $1,313.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,488.00 / $1,488.00 / $1,488.00