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Missouri rates for HCPCS A4649

Surgical supply; miscellaneous

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.48 / $25.48 / $863.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $36.00 / $310.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.87 / $2.87 / $2.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.23 / $100.00 / $760.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.68 / $45.68 / $45.68