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Kansas rates for HCPCS Q4190

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $131.83 / $131.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $114.82 / $141.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $112.20 / $169.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $112.20 / $112.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $181.97 / $977.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $128.82 / $1,202.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $933.25 / $1,096.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $177.83 / $812.83