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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
$34.49 / $34.49 / $34.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.49 / $34.49 / $34.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.73 / $22.73 / $52.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.49 / $34.49 / $950.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.28 / $122.28 / $122.28