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Missouri rates for HCPCS 13102

Repair, complex, trunk; each additional 5 cm or less (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.62 / $1,806.00 / $7,365.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.19 / $99.93 / $505.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.58 / $114.12 / $135.86
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
$74.00 / $102.09 / $172.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.98 / $120.74 / $220.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.86 / $134.93 / $2,019.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.00 / $151.74 / $859.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.00 / $760.00 / $1,300.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.81 / $126.21 / $226.75