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Missouri rates for HCPCS 12021

Tx Superficial Wound Dehiscence W/Packing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.13 / $2,832.00 / $7,365.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.37 / $145.63 / $404.87
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
$119.85 / $157.32 / $252.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.16 / $198.45 / $330.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.75 / $226.60 / $2,576.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.47 / $221.05 / $1,316.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.96 / $815.00 / $1,351.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.36 / $182.15 / $310.68