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Missouri rates for HCPCS Q4121

TheraSkin, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $52.48 / $1,621.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $52.48 / $70.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $109.65 / $131.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $144.54 / $194.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $50.12 / $52.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $52.48 / $53.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $63.10 / $158.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $48.98 / $213.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $69.18 / $81.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $52.48 / $125.89