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Missouri rates for HCPCS Q4114

Integra flowable wound matrix, injectable, 1 cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,539.24 / $2,830.80 / $2,972.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.41 / $1,524.30 / $1,793.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.25 / $1,175.89 / $1,589.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,409.82 / $1,409.82 / $1,494.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.41 / $1,494.41 / $1,903.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,566.56 / $2,202.33 / $3,844.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.35 / $1,542.24 / $7,066.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.41 / $1,494.41 / $1,827.66