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Missouri rates for HCPCS 41250

Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.18 / $3,067.00 / $7,365.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$862.00 / $1,785.00 / $4,773.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,213.00 / $2,213.00 / $2,213.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.37 / $284.33 / $719.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.00 / $747.00 / $1,300.00