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Missouri rates for HCPCS A4397

Irrigation supply; sleeve, each

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.90 / $4.90 / $6.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $21.38 / $21.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.24 / $2.57 / $4.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $2.82 / $4.47