go back

Kansas rates for HCPCS A2015

Phoenix wound matrix, per square centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.66 / $117.66 / $117.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.62 / $86.21 / $117.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$785.24 / $785.24 / $785.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.62 / $117.66 / $1,165.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,438.66 / $1,438.66 / $4,904.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,438.66 / $1,438.66 / $1,619.50