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Missouri rates for HCPCS Q9954

Oral magnetic resonance contrast agent, per 100 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.68 / $10.68 / $10.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.43 / $10.68 / $12.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $9.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.43 / $10.06 / $11.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.87 / $7.87 / $7.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.68 / $12.57 / $29.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.32 / $12.57 / $15.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.32 / $12.57 / $13.83