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Kansas rates for HCPCS Q4132

Grafix Core and GrafixPL Core, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$564.00 / $564.00 / $564.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.70 / $108.83 / $397.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.05 / $188.39 / $199.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.00 / $187.00 / $187.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.66 / $106.70 / $181.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.70 / $106.70 / $106.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.86 / $160.53 / $564.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.18 / $89.18 / $1,448.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.70 / $106.70 / $154.72