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Kansas rates for HCPCS Q4195

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.12 / $137.12 / $137.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.94 / $99.90 / $137.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.40 / $97.94 / $118.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.94 / $97.94 / $97.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.08 / $164.23 / $206.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.92 / $107.92 / $784.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.94 / $97.94 / $119.57