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Missouri rates for MS-DRG 604

Trauma to the skin, subcutaneous tissue and breast with MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,834.70 / $17,170.59 / $28,507.20
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,988.00 / $2,988.00 / $22,755.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,333.04 / $15,479.50 / $26,222.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,902.07 / $19,131.41 / $29,715.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,200.62 / $18,496.93 / $29,474.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,200.62 / $18,496.93 / $26,208.00