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Missouri rates for HCPCS A6504

Compression burn garment, glove to wrist, custom fabricated

Facilitymedian $95 · 10th–90th $89–$1860%50%10th90th$95Professionalmedian $89 · 10th–90th $89–$1510%50%90th$89$2.0$10.0$50.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $89.13 / $120.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $89.13 / $89.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $151.36 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $91.20 / $91.20
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $102.33 / $245.47
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $144.54 / $144.54