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Missouri rates for HCPCS 14041

Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10.1 sq cm to 30.0 sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$788.70 / $3,520.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.04 / $822.45 / $2,461.55
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.99 / $1,036.32 / $1,188.34
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
$739.68 / $943.14 / $1,457.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.96 / $1,080.94 / $1,756.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$670.40 / $1,195.33 / $5,764.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$808.93 / $1,193.98 / $6,899.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.00 / $2,261.00 / $3,071.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$778.32 / $1,055.27 / $1,830.32