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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
$15.85 / $15.85 / $15.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $12.02 / $15.85
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $6.03 / $19.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $70.79 / $74.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $70.79 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $13.49 / $13.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.12 / $17.38 / $38.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $10.72 / $158.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $26.30 / $26.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $10.23 / $19.95