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Missouri rates for HCPCS Q4188

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$497.34 / $1,029.00 / $1,029.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.59 / $497.34 / $585.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.07 / $340.01 / $478.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.99 / $459.99 / $487.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.59 / $487.59 / $620.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$497.34 / $741.98 / $1,215.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.59 / $487.59 / $2,386.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.21 / $487.59 / $596.32