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Missouri rates for HCPCS Q4106

Dermagraft, per sq cm

Facilitymedian $54 · 10th–90th $36–$870%10%20%10th90th$54Professionalmedian $51 · 10th–90th $45–$1,8200%50%10th90th$51$20.0$50.0$100.0$200.0$500.0$1.0K

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
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $87.10 / $87.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $57.54
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $48.98 / $93.33
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $51.29 / $1,819.70
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67.61 / $67.61 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $51.29 / $51.29