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Kansas rates for HCPCS Q4106

Dermagraft, per sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.94 / $44.94 / $44.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.96 / $35.96 / $44.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.92 / $36.65 / $38.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.39 / $36.39 / $36.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.94 / $56.00 / $56.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.94 / $44.94 / $44.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.58 / $44.94 / $55.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.94 / $50.94 / $1,816.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.94 / $50.94 / $53.00