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Missouri rates for HCPCS Q4235

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.98 / $90.62 / $90.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.98 / $89.74 / $105.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.78 / $145.04 / $195.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.00 / $83.00 / $87.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.98 / $87.98 / $112.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.09 / $116.89 / $200.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.48 / $80.48 / $558.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.22 / $87.98 / $101.44