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Missouri rates for HCPCS Q4155

Neox Flo or Clarix Flo 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.16 / $40.32 / $40.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $27.16 / $31.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.26 / $26.62 / $36.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $26.62 / $26.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.62 / $26.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.86 / $75.00 / $126.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.21 / $27.31 / $31.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.62 / $26.62 / $26.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.63 / $26.62 / $30.80