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Missouri rates for HCPCS 31613

Tracheostoma revision; simple, without flap rotation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $3,235.94 / $7,413.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,819.70 / $4,168.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $1,862.09 / $16,218.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,630.27 / $4,677.35