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Kansas rates for HCPCS Q4158

Kerecis Omega3 Per Square Centimeter (Desc Revised 1/1/2018)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.18 / $3,429.13 / $3,429.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.27 / $68.62 / $94.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.24 / $235.24 / $235.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.47 / $67.27 / $67.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.27 / $67.27 / $67.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.64 / $101.21 / $205.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.31 / $66.31 / $779.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.27 / $67.27 / $97.54