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Missouri rates for HCPCS Q4226

MyOwn Skin, includes harvesting and preparation procedures, per sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $1,148.15 / $1,513.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,174.90 / $1,445.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $331.13 / $446.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $977.24 / $977.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,230.27 / $1,230.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,230.27 / $1,230.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $1,380.38 / $3,162.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,202.26 / $5,495.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $489.78 / $1,230.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,202.26 / $1,258.93