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Missouri rates for HCPCS A2009

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.64 / $90.53 / $90.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.64 / $53.41 / $90.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.69 / $87.66 / $90.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.13 / $93.13 / $93.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.13 / $93.13 / $93.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.00 / $148.21 / $164.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.30 / $91.30 / $131.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.30 / $91.30 / $111.66