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Missouri rates for HCPCS G0458

Low dose rate (LDR) prostate brachytherapy services, composite rate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.50 / $233.50 / $233.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $31.50 / $100.00