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Kansas rates for HCPCS Q4152

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $58.88 / $58.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $51.29 / $60.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $51.29 / $169.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $51.29 / $51.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $63.10 / $128.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $45.71 / $229.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $107.15 / $125.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $95.50 / $125.89