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Missouri rates for HCPCS 11404

Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 3.1 to 4.0 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.09 / $2,007.00 / $5,691.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.50 / $192.04 / $574.58
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.58 / $124.00 / $181.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,958.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.61 / $194.78 / $328.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.44 / $237.16 / $406.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.56 / $287.12 / $5,105.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.05 / $286.01 / $1,665.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,216.00 / $2,261.00 / $3,071.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.53 / $240.25 / $410.63