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Missouri rates for HCPCS Q4189

Artacent AC, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.02 / $20.02 / $20.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.02 / $20.02 / $20.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.85 / $20.85 / $21.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.27 / $21.27 / $21.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.27 / $21.27 / $21.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.02 / $25.02 / $54.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.48 / $21.48 / $26.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.48 / $21.48 / $25.02