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Kansas rates for HCPCS Q4170

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.04 / $55.04 / $55.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $40.10 / $55.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.89 / $499.89 / $499.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.09 / $39.31 / $39.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $39.31 / $39.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.38 / $63.23 / $251.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.55 / $41.55 / $3,990.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $39.31 / $44.25