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Missouri rates for HCPCS 12055

Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$435.24 / $3,214.00 / $7,365.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.81 / $397.68 / $718.24
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
$277.00 / $392.77 / $652.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.87 / $489.36 / $863.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.39 / $522.55 / $2,576.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.20 / $616.65 / $3,714.08
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
$387.80 / $514.41 / $887.50