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Kansas rates for HCPCS Q4161

bio-ConneKt wound matrix, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $1,862.09 / $1,862.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $1,621.81 / $1,905.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $1,584.89 / $1,584.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $1,584.89 / $1,584.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $1,905.46 / $2,691.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $1,659.59 / $11,481.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $2,454.71 / $2,884.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $1,862.09 / $2,511.89