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Missouri rates for HCPCS 14040

Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10 sq cm or less

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$556.36 / $2,984.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.31 / $671.89 / $2,664.37
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.51 / $621.51 / $621.51
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
$586.41 / $752.01 / $1,167.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$603.41 / $874.72 / $1,486.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$553.66 / $973.83 / $5,764.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$658.95 / $983.39 / $5,675.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.00 / $1,697.00 / $3,071.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.54 / $790.14 / $1,402.82