go back

Missouri rates for HCPCS Q4147

Architect, Architect PX, or Architect FX, extracellular matrix, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.70 / $57.13 / $59.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.70 / $45.70 / $59.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.91 / $144.44 / $188.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.56 / $48.56 / $48.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.56 / $48.56 / $48.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.70 / $62.14 / $137.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.62 / $1,576.28 / $1,812.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.99 / $57.13 / $65.87