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Missouri rates for HCPCS A4301

Implantable access total catheter, port/reservoir (e.g., venous, arterial, epidural, subarachnoid, peritoneal, etc.)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $33.88 / $33.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $33.88 / $52.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $22.91 / $29.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $30.90 / $30.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $37.15 / $97.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $123.03 / $123.03