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Missouri rates for HCPCS Q4234

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$565.01 / $1,312.50 / $1,312.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.94 / $565.01 / $664.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.29 / $598.82 / $805.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$522.58 / $522.58 / $553.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.94 / $553.94 / $705.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.73 / $298.10 / $1,250.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.83 / $194.83 / $4,750.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.92 / $553.94 / $638.69