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Missouri rates for HCPCS Q4137

AmnioExcel, AmnioExcel Plus or BioDExcel, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.77 / $270.57 / $284.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.72 / $103.75 / $142.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.21 / $103.08 / $111.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.96 / $95.96 / $101.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.72 / $101.72 / $129.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.73 / $147.83 / $283.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.72 / $100.72 / $515.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.72 / $101.72 / $124.40