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Kansas rates for HCPCS Q4227

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $1,380.38 / $1,380.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,412.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $1,096.48 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,174.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $1,348.96 / $1,949.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $4,677.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,202.26 / $1,230.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $1,122.02 / $1,202.26