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Kansas rates for HCPCS Q4229

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $537.03 / $537.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $467.74 / $549.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $436.52 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $457.09 / $457.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $467.74 / $954.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $3,630.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $1,412.54 / $1,659.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $501.19 / $1,659.59