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Missouri rates for HCPCS A6025

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

Facilitymedian $16 · 10th–90th $7–$460%10%20%10th90th$16Professionalmedian $11 · 10th–90th $6–$170%10%10th90th$11$2.0$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $15.85 / $15.85
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $10.96 / $15.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $14.79 / $23.99
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $70.79 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $14.13
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $16.98 / $75.86
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $10.72 / $158.49
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $14.13 / $16.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $10.23 / $16.60