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Missouri rates for HCPCS Q4184

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.64 / $618.45 / $618.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.04 / $81.64 / $96.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.63 / $594.32 / $799.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.51 / $75.51 / $80.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.04 / $80.04 / $101.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.04 / $117.48 / $589.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.04 / $80.04 / $2,756.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.04 / $80.04 / $99.81