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Kansas rates for HCPCS Q4250

Amnioamp-mp per sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,171.38 / $4,171.38 / $4,171.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,979.56 / $3,039.15 / $4,171.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,810.90 / $2,810.90 / $2,979.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,979.55 / $2,979.55 / $2,979.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,959.69 / $3,551.63 / $7,991.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,901.66 / $2,901.66 / $9,975.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,979.56 / $2,979.56 / $2,979.56