go back

Kansas rates for HCPCS Q4114

Integra flowable wound matrix, injectable, 1 cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,830.80 / $2,830.80 / $2,830.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.41 / $1,613.96 / $2,830.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,409.82 / $1,494.41 / $1,553.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.41 / $1,494.41 / $1,494.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,494.41 / $2,223.91 / $2,716.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,542.24 / $1,542.24 / $7,066.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.41 / $1,494.41 / $2,166.89