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Kansas rates for HCPCS Q4113

Graftjacket Xpress

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$897.50 / $897.50 / $897.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.00 / $718.00 / $897.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$584.00 / $584.00 / $762.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.88 / $762.88 / $762.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$718.00 / $897.50 / $924.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,997.50 / $1,997.50 / $3,410.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,997.50 / $1,997.50 / $2,248.59