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Missouri rates for HCPCS 12053

Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $1,659.59 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $316.23 / $776.25
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $616.60 / $616.60
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
$208.93 / $309.03 / $537.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $354.81 / $436.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $371.54 / $616.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $354.81 / $1,288.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $467.74 / $2,691.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $707.95 / $1,412.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $309.03 / $501.19