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Kansas rates for HCPCS Q4169

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,895.86 / $2,895.86 / $2,895.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,068.46 / $2,109.84 / $2,895.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.05 / $294.05 / $294.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,951.39 / $2,068.46 / $2,068.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,068.46 / $2,068.46 / $2,068.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$474.00 / $2,264.98 / $3,388.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,220.57 / $2,220.57 / $11,634.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,068.46 / $2,068.46 / $2,999.28