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Kansas rates for HCPCS Q4191

Restorigin, per square centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$917.42 / $917.42 / $917.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.29 / $668.41 / $917.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$618.21 / $618.21 / $655.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.29 / $655.29 / $655.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$745.04 / $1,083.96 / $1,750.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.43 / $730.43 / $5,727.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.29 / $655.29 / $950.19