go back

Missouri rates for HCPCS A4707

Bicarbonate conc pow per pac

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.14 / $5.14 / $5.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.00 / $15.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.14 / $5.59 / $11.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.79 / $5.79 / $5.79