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Missouri rates for HCPCS A2004

XCelliStem, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $16.22 / $28,840.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.02 / $12.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $436.52 / $588.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $12.30 / $26.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $13.18 / $13.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $13.18 / $13.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.59 / $15.49 / $38.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $12.88 / $1,380.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $20.89 / $22.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $12.88 / $13.80