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Missouri rates for HCPCS 17004

Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses), 15 or more lesions

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.70 / $2,330.00 / $7,365.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.60 / $158.62 / $543.00
Aetna
Facility/Professional
Professional
Modifier
22
Low / Median / High Price
$799.01 / $799.01 / $799.01
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.57 / $211.02 / $211.02
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
$104.52 / $159.59 / $278.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.49 / $180.51 / $306.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.66 / $179.89 / $884.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.43 / $213.10 / $1,248.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.00 / $875.00 / $1,351.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.26 / $170.50 / $284.43