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Missouri rates for HCPCS Q4140

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $165.96 / $467.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $162.18 / $302.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $109.65 / $151.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $144.54 / $194.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $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
$165.96 / $229.09 / $489.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $165.96 / $1,698.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $223.87 / $263.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $169.82 / $371.54