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Kansas rates for HCPCS Q4217

WoundFix, BioWound, WoundFix Plus, BioWound Plus, WoundFix Xplus or BioWound Xplus, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $371.54 / $371.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $323.59 / $398.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $302.00 / $316.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $316.23 / $316.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $446.68 / $1,445.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $316.23 / $1,995.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $1,230.27 / $1,445.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $275.42 / $1,445.44