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Missouri rates for HCPCS Q4158

Kerecis Omega3, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.62 / $217.80 / $3,429.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.27 / $68.62 / $80.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.27 / $71.75 / $96.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.47 / $63.47 / $67.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.27 / $67.27 / $85.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.64 / $100.91 / $205.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.62 / $66.31 / $779.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.27 / $67.27 / $82.27