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Missouri rates for HCPCS 12031

Repair Intermediate S/A/T/E 2.5 Cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.75 / $1,017.00 / $5,389.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.33 / $227.81 / $850.18
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.24 / $283.17 / $365.14
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
$149.47 / $209.84 / $368.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.62 / $250.80 / $440.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.79 / $257.27 / $1,065.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.18 / $323.45 / $1,954.56
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
$197.60 / $261.38 / $452.27