go back

Missouri rates for HCPCS 01130

Anesthesia Body Cast Application Or Revision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.76 / $260.00 / $356.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.00 / $42.00 / $302.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.00 / $208.00 / $305.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.00 / $189.00 / $250.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.84 / $2,615.98 / $3,041.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $59.00 / $901.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.00 / $57.00 / $78.20