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Missouri rates for HCPCS 12052

Repair Intermediate F/E/E/N/L&/Muc 2.6-5.0 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.34 / $1,184.00 / $5,560.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.38 / $279.91 / $649.76
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.75 / $158.77 / $367.52
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
$195.00 / $271.57 / $464.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.98 / $321.10 / $565.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.07 / $319.37 / $1,261.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.78 / $391.13 / $2,348.96
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
$234.68 / $315.31 / $550.82