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Missouri rates for HCPCS 13121

Repair, complex, scalp, arms, and/or legs; 2.6 cm to 7.5 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$303.66 / $2,507.00 / $7,365.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.39 / $379.07 / $1,304.58
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.47 / $343.41 / $494.24
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
$277.02 / $394.83 / $643.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.43 / $431.98 / $779.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.48 / $503.34 / $3,947.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.83 / $552.00 / $3,161.36
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
$353.39 / $448.89 / $787.07