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Missouri rates for HCPCS Q4134

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $128.82 / $128.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $134.90 / $162.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $109.65 / $147.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $147.91 / $204.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $162.18 / $162.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $162.18 / $181.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $151.36 / $316.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $162.18 / $186.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $162.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $158.49 / $162.18