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Missouri rates for HCPCS 12015

Simple Repair F/E/E/N/L/M 7.6cm-12.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.16 / $2,507.00 / $7,365.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,958.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.81 / $182.62 / $875.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.00 / $875.00 / $1,300.00