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Missouri rates for HCPCS A4563

Rectal Control System For Vaginal Insertion For Long Term Use Includes Pump And All Supplies And Accessories Any Type Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.24 / $1,638.56 / $1,638.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$702.24 / $925.26 / $1,638.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,639.53 / $1,721.51 / $7,568.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.27 / $76.27 / $911.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.00 / $120.00 / $120.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.00 / $102.00 / $125.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$873.90 / $1,638.56 / $7,674.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.60 / $76.95 / $624.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.60 / $76.95 / $235.15