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Kansas rates for HCPCS A2007

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $1,905.46 / $1,905.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $199.53 / $239.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $204.17 / $204.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $204.17 / $204.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $229.09 / $549.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $218.78 / $954.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $81.28 / $239.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $218.78 / $218.78