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Missouri rates for HCPCS 14021

Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$840.14 / $3,907.00 / $7,996.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.69 / $766.36 / $2,319.19
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.78 / $713.78 / $713.78
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
$689.11 / $868.77 / $1,333.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.54 / $1,002.70 / $1,694.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$629.70 / $1,113.43 / $5,764.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$753.38 / $1,111.10 / $6,464.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,216.00 / $2,261.00 / $3,071.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.70 / $933.33 / $1,599.35