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Missouri rates for HCPCS A2011

Supra SDRM, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.00 / $344.00 / $344.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.72 / $1.72 / $1.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.00 / $120.00 / $120.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $516.00