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Missouri rates for HCPCS Q4141

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.18 / $112.05 / $117.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.97 / $109.11 / $128.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.38 / $38.53 / $54.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.91 / $100.91 / $106.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.97 / $106.97 / $136.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.04 / $98.53 / $167.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.28 / $64.75 / $252.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.97 / $106.97 / $123.34