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Kansas rates for HCPCS Q4116

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.89 / $8,129.40 / $19,518.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.89 / $24.89 / $31.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.45 / $33.33 / $55.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.11 / $43.00 / $43.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.11 / $31.11 / $31.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.89 / $31.11 / $39.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.11 / $31.11 / $31.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.11 / $31.11 / $35.02