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Missouri rates for HCPCS L8042

Orbital prosthesis, provided by a nonphysician

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,706.14 / $2,523.67 / $2,604.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,706.14 / $2,005.94 / $3,554.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,734.41 / $3,921.13 / $17,238.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,858.37 / $2,199.78 / $3,022.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,214.74 / $3,214.74 / $3,214.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,732.53 / $2,732.53 / $3,311.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,736.32 / $3,009.62 / $18,916.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,503.90 / $2,021.93 / $3,580.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,421.78 / $1,877.20 / $2,780.96