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Missouri rates for HCPCS C1765

Adhesion barrier

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.46 / $5.18 / $333.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.46 / $3.46 / $3.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.51 / $903.51 / $903.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.50 / $217.98 / $217.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.46 / $4.84 / $10.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.85 / $375.85 / $375.85