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Missouri rates for HCPCS C2615

Sealant, pulmonary, liquid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.37 / $239.37 / $1,574.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.37 / $239.37 / $239.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.37 / $277.67 / $598.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.80 / $448.80 / $448.80