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Missouri rates for HCPCS Q4170

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.10 / $1,197.00 / $1,197.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $40.10 / $47.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $88.36 / $167.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.09 / $37.09 / $39.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $39.31 / $51.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.38 / $63.23 / $251.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.55 / $41.55 / $3,990.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $39.31 / $48.08