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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
$1,998.43 / $1,998.43 / $1,998.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.45 / $1,456.00 / $1,998.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.65 / $1,346.65 / $1,427.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.45 / $1,427.45 / $1,427.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,398.14 / $1,677.77 / $2,355.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,370.73 / $1,370.73 / $6,612.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.45 / $1,427.45 / $1,716.00