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Kansas rates for HCPCS Q4155

Neox Flo or Clarix Flo 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.27 / $37.27 / $37.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $27.16 / $37.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.73 / $25.73 / $25.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $26.62 / $26.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.62 / $26.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.86 / $38.40 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.31 / $27.31 / $33.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.62 / $26.62 / $26.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.62 / $34.10