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Kansas rates for HCPCS Q4178

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.17 / $125.17 / $125.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.41 / $91.20 / $125.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.35 / $84.35 / $89.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.41 / $89.41 / $89.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.97 / $138.16 / $225.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.11 / $93.11 / $436.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.41 / $89.41 / $129.63