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Missouri rates for HCPCS A0422

Ambulance (ALS or BLS) oxygen and oxygen supplies, life sustaining situation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.45 / $26.45 / $26.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.45 / $26.45 / $27.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.98 / $25.39 / $40.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.26 / $36.26 / $45.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.45 / $145.13 / $145.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.36 / $26.91 / $46.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.36 / $26.79 / $42.83