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Kansas rates for HCPCS A6025

Gel sheet for dermal or epidermal application, (e.g., silicone, hydrogel, other), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.47 / $17.47 / $17.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.85 / $10.24 / $17.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.65 / $70.80 / $75.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.28 / $70.28 / $70.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.47 / $13.47 / $13.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.85 / $16.80 / $29.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.78 / $10.61 / $159.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.78 / $10.18 / $17.92