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Missouri rates for HCPCS Q4100

Skin substitute, not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.03 / $7,913.40 / $14,999.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.65 / $34.65 / $15,685.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.61 / $12.61 / $14.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.99 / $125.40 / $125.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.59 / $100.00 / $2,673.50