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Kansas rates for HCPCS Q4108

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.79 / $74.79 / $74.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.54 / $41.63 / $74.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.43 / $21.43 / $21.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.00 / $36.00 / $38.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.54 / $38.54 / $38.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.54 / $70.14 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.12 / $49.12 / $197.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.54 / $38.54 / $55.88