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Missouri rates for HCPCS Q4229

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.58 / $1,751.40 / $1,751.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.36 / $470.58 / $553.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.02 / $104.03 / $146.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$435.24 / $435.24 / $461.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.36 / $461.36 / $587.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.31 / $502.65 / $928.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.31 / $330.31 / $3,610.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.36 / $461.36 / $564.24