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Missouri rates for HCPCS L8612

Aqueous shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$493.19 / $664.66 / $664.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.84 / $493.19 / $1,039.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.86 / $441.74 / $590.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451.71 / $451.71 / $451.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.95 / $383.95 / $465.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$339.32 / $588.15 / $3,676.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.41 / $405.22 / $778.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.52 / $366.85 / $561.04