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XWRAP

Kansas rates for HCPCS Q4204

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

Rates data updated July 2026.

How much does XWRAP cost?

$3,802

Typical negotiated rate. In Kansas, July 2026.

Insurers have agreed to pay about $3,802 for this service. The price depends on where it is billed: about $3,802 from a physician practice, and about $3,890 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3,802$3,715 to $3,981
FacilityA hospital or hospital-owned outpatient department$3,890$209 to $4,365

How much rates vary

Facilitymedian $3,890 · 10th to 90th $102 to $5,495Professionalmedian $3,802 · 10th to 90th $126 to $4,467
$100$200$500$1K$2K$5K$10Kfacility $3,890professional $3,802

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$4,365.16
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$3,801.89
Typical High
$5,128.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$208.93
Typical High
$467.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$4,365.16
Typical High
$10,471.29
Medica
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$3,801.89
Typical High
$12,882.50
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$154.88
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$131.83

Where Kansas sits

The same service costs 16.2 times more in Kansas than in Minnesota. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Kansas· 1st of 51

$3,802

KS $3,802MN $234

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.