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Missouri rates for HCPCS A6025

Gel sheet for dermal or epidermal application, (e.g., silicone, hydrogel, other), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.11 / $13.70 / $16.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $9.66 / $16.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $16.94 / $24.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.47 / $13.47 / $13.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.85 / $16.80 / $42.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.85 / $10.27 / $159.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.78 / $10.18 / $17.92