go back

Missouri rates for HCPCS Q4177

FlowerAmnioFlo, 0.1 cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.00 / $189.00 / $189.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.00 / $144.00 / $153.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.00 / $135.00 / $188.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.00 / $153.00 / $153.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.00 / $153.00 / $153.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.00 / $180.00 / $348.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.00 / $180.00 / $684.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.02 / $241.02 / $322.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.00 / $180.00 / $207.54