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Kansas rates for HCPCS Q4196

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.44 / $141.44 / $141.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.03 / $103.05 / $141.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.33 / $204.33 / $204.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.31 / $101.03 / $138.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.03 / $101.03 / $101.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.03 / $150.38 / $205.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.54 / $98.54 / $466.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.03 / $101.03 / $146.49