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Kansas rates for HCPCS Q4247

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,680.00 / $3,680.00 / $3,680.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,944.00 / $2,944.00 / $3,680.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,128.00 / $3,128.00 / $3,128.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,128.00 / $3,128.00 / $3,128.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.00 / $1,334.00 / $1,787.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,200.00 / $3,200.00 / $4,991.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,200.00 / $3,200.00 / $3,603.71