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Missouri rates for HCPCS A6412

Eye patch, occlusive, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $1.58 / $1.58
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $18.20 / $18.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.33 / $0.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.31 / $0.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.19 / $0.35 / $0.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.22 / $10.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.26 / $0.28 / $0.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.21 / $0.35