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Missouri rates for HCPCS L0160

Cervical, semi-rigid, wire frame occipital/mandibular support, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.10 / $10.68 / $117.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.79 / $106.45 / $162.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.21 / $206.02 / $905.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.74 / $105.98 / $158.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.82 / $121.82 / $121.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.93 / $88.93 / $129.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.35 / $158.81 / $928.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.93 / $97.88 / $238.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.93 / $97.88 / $170.12