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Missouri rates for RC 0402

Other Imaging Services - Ultrasound

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $263.03 / $275.42
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $194.98 / $398.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $239.88 / $239.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $549.54 / $776.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $295.12 / $363.08