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Kansas rates for HCPCS Q4102

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $52.48 / $489.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $12.02 / $14.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $19.95 / $20.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $19.95 / $19.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $11.75 / $11.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $11.75 / $11.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.75 / $13.49 / $30.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $11.75 / $1,584.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $12.02 / $13.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $30.20 / $125.89