go back

Kansas rates for HCPCS Q4234

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$775.51 / $775.51 / $775.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.94 / $565.01 / $775.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$522.58 / $522.58 / $553.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.94 / $553.94 / $553.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.67 / $553.94 / $1,250.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.83 / $194.83 / $4,750.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.92 / $553.94 / $623.57