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Missouri rates for HCPCS 13133

Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 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
$149.16 / $2,598.00 / $7,365.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.58 / $147.91 / $673.05
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.22 / $137.22 / $152.56
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
$129.31 / $166.21 / $261.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.95 / $192.31 / $323.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.91 / $215.01 / $2,019.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.56 / $222.83 / $1,249.20
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
$141.49 / $197.70 / $325.73