go back

Missouri rates for HCPCS Q4148

Neox Cord 1K, Neox Cord RT, or Clarix Cord 1K, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $125.89 / $281.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $125.89 / $229.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $109.65 / $144.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $144.54 / $194.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $123.03 / $123.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $123.03 / $138.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $177.83 / $380.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $125.89 / $3,090.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $173.78 / $204.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $128.82 / $223.87