go back

Missouri rates for HCPCS Q4161

bio-ConneKt wound matrix, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,622.35 / $3,150.00 / $3,150.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,590.54 / $1,622.35 / $1,908.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.79 / $126.18 / $177.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,500.51 / $1,500.51 / $1,590.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,590.54 / $1,590.54 / $2,025.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$525.60 / $1,908.65 / $4,099.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,653.82 / $1,653.82 / $11,400.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,590.54 / $1,590.54 / $1,945.23