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Kansas rates for HCPCS Q4154

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.66 / $184.66 / $184.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.90 / $134.54 / $184.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.95 / $300.85 / $319.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.61 / $298.61 / $298.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.43 / $131.90 / $131.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.90 / $131.90 / $131.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.71 / $212.00 / $450.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.86 / $142.86 / $2,287.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.90 / $131.90 / $191.26