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Kansas rates for HCPCS Q4151

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.84 / $188.84 / $188.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.88 / $137.58 / $188.84
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
$127.25 / $134.88 / $134.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.88 / $134.88 / $134.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.88 / $165.92 / $224.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.19 / $137.19 / $633.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.88 / $134.88 / $151.85