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Missouri rates for HCPCS Q4225

AmnioBind or DermaBind TL, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,456.00 / $1,827.00 / $1,827.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.45 / $1,456.00 / $1,712.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,128.32 / $1,427.45 / $1,869.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.65 / $1,346.65 / $1,427.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.45 / $1,427.45 / $1,817.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,370.73 / $1,712.94 / $3,416.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,370.73 / $1,370.73 / $6,612.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,857.31 / $1,857.31 / $2,288.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.45 / $1,427.45 / $1,716.00