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Missouri rates for HCPCS Q4143

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.92 / $34.94 / $34.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.92 / $34.60 / $40.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.98 / $23.22 / $32.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.00 / $32.00 / $33.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.92 / $33.92 / $43.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.92 / $40.70 / $84.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.92 / $33.92 / $112.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.28 / $33.92 / $39.25