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Missouri rates for HCPCS Q4238

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,481.30 / $3,150.00 / $3,150.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,452.25 / $1,481.30 / $1,742.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,229.27 / $1,513.74 / $2,036.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,370.05 / $1,370.05 / $1,452.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,452.25 / $1,452.25 / $1,849.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,759.54 / $2,070.00 / $4,299.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,644.99 / $1,725.04 / $6,878.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,452.25 / $1,452.25 / $1,452.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,452.25 / $1,452.25 / $1,810.96