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Kansas rates for HCPCS A2009

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $91.20 / $91.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $66.07 / $95.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $93.33 / $169.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $104.71 / $165.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $91.20 / $131.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $125.89 / $125.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $91.20 / $125.89