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Missouri rates for HCPCS Q4166

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

Facilitymedian $29 · 10th–90th $20–$1450%20%10th90th$29Professionalmedian $21 · 10th–90th $19–$1260%20%10th90th$21$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $19.95 / $28.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $22.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $109.65 / $131.83
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $144.54 / $181.97
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$144.54 / $223.87 / $281.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $125.89 / $125.89
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $24.55 / $67.61
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $20.89 / $91.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $30.90 / $102.33
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $125.89 / $125.89