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Missouri rates for HCPCS Q4175

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.37 / $168.00 / $168.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.54 / $93.37 / $109.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.14 / $91.54 / $91.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.36 / $86.36 / $91.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.54 / $91.54 / $116.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.06 / $99.39 / $184.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.72 / $67.72 / $304.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.54 / $91.54 / $114.15