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Missouri rates for HCPCS Q4210

Axolotl Graft or Axolotl DualGraft, per sq cm

Insurance Carrier
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,479.11 / $1,479.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $870.96 / $1,096.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $2,398.83 / $2,398.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,162.28 / $3,162.28 / $3,162.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $338.84 / $851.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $851.14 / $851.14