go back

Missouri rates for HCPCS 12021

Treatment of superficial wound dehiscence; with packing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $2,570.40 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $162.18 / $446.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,819.70 / $4,168.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $162.18 / $263.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $186.21 / $239.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $199.53 / $316.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $239.88 / $12,022.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $229.09 / $1,318.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $707.95 / $1,412.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $169.82 / $295.12