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Missouri rates for HCPCS Q4178

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $236.25 / $236.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.41 / $91.20 / $107.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.75 / $168.75 / $236.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.35 / $84.35 / $89.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.41 / $89.41 / $113.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.11 / $136.66 / $258.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.03 / $93.11 / $436.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.41 / $89.41 / $111.49