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Kansas rates for HCPCS Q4176

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.00 / $190.00 / $190.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.00 / $152.00 / $190.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.50 / $161.50 / $161.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.50 / $161.50 / $161.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.00 / $190.00 / $207.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.51 / $167.51 / $722.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.51 / $167.51 / $188.57