go back

Kansas rates for HCPCS Q4184

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.06 / $112.06 / $112.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.04 / $81.64 / $112.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.51 / $75.51 / $80.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.04 / $80.04 / $80.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.64 / $118.78 / $589.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.04 / $80.04 / $2,756.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.04 / $80.04 / $116.06