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Missouri rates for HCPCS Q4173

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$356.00 / $850.50 / $850.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.02 / $356.00 / $418.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.18 / $364.72 / $490.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.26 / $329.26 / $349.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.01 / $349.01 / $444.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.69 / $523.35 / $931.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.55 / $356.55 / $2,835.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.86 / $349.02 / $435.23