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Missouri rates for HCPCS Q4169

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,109.84 / $3,490.20 / $3,490.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,068.46 / $2,109.84 / $2,482.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.19 / $172.74 / $243.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,951.39 / $1,951.39 / $2,068.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,068.46 / $2,068.46 / $2,634.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$474.00 / $2,482.16 / $5,196.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,220.57 / $2,220.57 / $11,634.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,068.46 / $2,068.46 / $2,529.73