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Kansas rates for HCPCS Q4140

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.65 / $446.65 / $446.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.62 / $174.55 / $446.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.47 / $152.47 / $161.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.62 / $161.62 / $161.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.13 / $250.83 / $428.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.84 / $164.84 / $1,697.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.62 / $161.62 / $234.35