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Kansas rates for HCPCS Q4256

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,029.06 / $1,029.06 / $1,029.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.05 / $749.75 / $1,029.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$693.44 / $693.44 / $735.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.05 / $735.05 / $735.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$735.05 / $999.03 / $2,330.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$813.21 / $813.21 / $8,436.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.05 / $735.05 / $827.45