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Missouri rates for HCPCS D4355

Full M Debrid Enbl Comp Or Eval & Dx Subq Visit

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.87 / $53.48 / $65.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.80 / $67.48 / $113.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.31 / $73.31 / $73.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.38 / $69.18 / $133.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.83 / $367.45 / $367.45