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Missouri rates for HCPCS Q4166

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.37 / $27.95 / $27.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.97 / $20.37 / $23.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.43 / $18.30 / $23.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.84 / $18.84 / $19.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.97 / $19.97 / $25.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.85 / $24.82 / $53.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.85 / $20.85 / $90.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.97 / $19.97 / $23.76