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Missouri rates for HCPCS 12054

Repair Intermediate F/E/E/N/L&/Muc 7.6-12.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.02 / $2,507.00 / $7,365.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.33 / $302.10 / $791.98
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
$218.33 / $318.92 / $526.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.36 / $377.65 / $699.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.90 / $410.16 / $2,576.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.70 / $476.66 / $2,838.24
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
$306.26 / $427.82 / $673.90