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Kansas rates for HCPCS A2013

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,288.25 / $1,288.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,348.96 / $1,621.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $1,380.38 / $1,380.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,380.38 / $1,380.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,548.82 / $3,630.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,348.96 / $5,754.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,230.27 / $1,621.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $1,348.96 / $1,348.96