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Kansas rates for HCPCS Q4175

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $107.15 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $91.20 / $109.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $91.20 / $169.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $91.20 / $91.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $95.50 / $186.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $67.61 / $302.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $181.97 / $213.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $125.89 / $154.88