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Kansas rates for HCPCS Q4194

Novachor Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$929.08 / $929.08 / $929.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.63 / $676.90 / $929.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$626.05 / $626.05 / $663.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.63 / $663.63 / $663.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$732.13 / $1,000.00 / $1,092.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.78 / $717.78 / $3,800.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.63 / $663.63 / $962.26