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Missouri rates for HCPCS Q2028

Injection, sculptra, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $1.05 / $1.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $2.14 / $7.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.59 / $0.59 / $0.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $0.66 / $0.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.66 / $0.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $1.00 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.68 / $0.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $0.68 / $0.76