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Missouri rates for HCPCS A4653

Peritoneal dialysis catheter anchoring device, belt, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.88 / $4.88 / $8.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.80 / $445.80 / $445.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.88 / $5.61 / $11.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.70 / $7.70 / $7.70