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Kansas rates for HCPCS Q4225

AmnioBind or DermaBind TL, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $1,659.59 / $1,659.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,445.44 / $1,698.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $1,348.96 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $1,412.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $1,698.24 / $3,890.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,380.38 / $6,606.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $1,479.11 / $1,737.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $1,380.38 / $1,445.44