go back

Missouri rates for HCPCS 12013

Simple Repair F/E/E/N/L/M 2.6cm-5.0 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.34 / $429.30 / $4,908.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.48 / $101.00 / $438.01
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.51 / $70.51 / $70.51
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
$73.76 / $126.38 / $217.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.91 / $129.77 / $248.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.53 / $128.27 / $875.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.92 / $158.53 / $1,006.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.00 / $875.00 / $1,351.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.32 / $136.54 / $216.07