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Missouri rates for HCPCS 12016

Simple Repair F/E/E/N/L/M 12.6cm-20.0 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.38 / $3,213.00 / $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
$115.79 / $299.83 / $2,576.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.18 / $760.00 / $1,300.00