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Missouri rates for HCPCS Q4251

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $144.54 / $190.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $147.91 / $151.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $109.65 / $138.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $144.54 / $194.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $151.36 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $151.36 / $151.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $181.97 / $389.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $181.97 / $691.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $239.88 / $281.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $177.83 / $181.97