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Missouri rates for HCPCS Q4163

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.82 / $525.00 / $525.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.18 / $185.82 / $218.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.37 / $153.83 / $182.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.87 / $171.87 / $182.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.18 / $182.18 / $232.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.21 / $267.39 / $512.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.18 / $182.18 / $804.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.18 / $182.18 / $227.18