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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
$154.88 / $154.88 / $154.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $134.90 / $158.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $302.00 / $316.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $302.00 / $302.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $131.83 / $169.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $131.83 / $131.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $186.21 / $446.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $141.25 / $2,290.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $389.05 / $457.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $134.90 / $371.54