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Missouri rates for HCPCS 15271

App Skn Sub Grft T/A/L Area/100sq Cm /<1st 25

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.51 / $3,067.00 / $7,365.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.38 / $126.56 / $262.60
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
$77.34 / $125.75 / $222.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.02 / $155.40 / $252.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $159.66 / $2,442.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.86 / $189.54 / $2,873.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,216.00 / $2,261.00 / $3,074.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.16 / $178.04 / $267.05