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Missouri rates for HCPCS Q4128

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.91 / $30.81 / $8,069.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.91 / $30.51 / $35.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.73 / $29.91 / $40.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.22 / $28.22 / $29.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.91 / $29.91 / $38.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.28 / $37.65 / $76.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.63 / $30.70 / $135.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.31 / $29.91 / $34.49