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Missouri rates for HCPCS 13101

Repair, complex, trunk; 2.6 cm to 7.5 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$290.13 / $3,130.00 / $7,996.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.83 / $367.20 / $1,423.43
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.40 / $319.47 / $459.79
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
$260.75 / $354.17 / $592.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.42 / $402.78 / $741.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.42 / $458.00 / $3,064.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.57 / $515.77 / $2,948.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.76 / $747.00 / $1,300.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.38 / $424.13 / $735.41