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Missouri rates for HCPCS Q4160

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,085.82 / $2,085.82 / $2,867.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,784.38 / $2,840.07 / $3,341.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.19 / $109.23 / $2,784.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,626.77 / $2,626.77 / $2,784.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,784.38 / $2,784.38 / $3,546.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.23 / $573.20 / $1,490.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.31 / $530.00 / $630.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.06 / $124.06 / $124.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,784.38 / $2,784.38 / $3,405.30