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Kansas rates for HCPCS Q4128

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.88 / $135.08 / $8,069.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.91 / $30.51 / $41.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.33 / $33.00 / $42.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.22 / $62.00 / $62.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.91 / $29.91 / $29.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.91 / $37.57 / $84.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.70 / $30.70 / $135.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.91 / $29.91 / $31.12