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Missouri rates for HCPCS 15050

Pinch Graft 1/Mlt Sm Ulcer Tip/Oth Ar Up To 2 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$525.22 / $3,214.00 / $7,365.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.45 / $488.80 / $800.00
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
$371.41 / $521.27 / $816.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.03 / $628.27 / $1,103.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.45 / $659.17 / $3,064.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.84 / $745.82 / $4,336.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.00 / $815.00 / $1,300.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.86 / $599.91 / $1,041.42