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Kansas rates for HCPCS A2005

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.11 / $280.58 / $21,860.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.18 / $164.54 / $280.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.38 / $216.38 / $216.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.18 / $268.50 / $399.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.57 / $254.57 / $1,351.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.57 / $254.57 / $286.57