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Missouri rates for HCPCS Q4156

Neox 100 or Clarix 100, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.86 / $180.00 / $189.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $67.20 / $79.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.52 / $62.80 / $82.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.15 / $62.15 / $65.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $65.88 / $83.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.67 / $100.96 / $190.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.75 / $66.34 / $3,978.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $65.88 / $82.15