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Missouri rates for HCPCS A2004

Misc W/Motor Score 12-32

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.48 / $16.38 / $29,146.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.48 / $12.48 / $13.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.19 / $502.06 / $657.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.26 / $13.26 / $13.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.26 / $13.26 / $13.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.48 / $15.60 / $31.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $13.00 / $1,391.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $13.00 / $15.29