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Kansas rates for HCPCS Q4137

AmnioExcel, AmnioExcel Plus or BioDExcel, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.40 / $270.57 / $1,702.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.72 / $109.85 / $270.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.96 / $95.96 / $101.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.72 / $101.72 / $101.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.73 / $149.46 / $246.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.72 / $100.72 / $515.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.72 / $101.72 / $147.49