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Kansas rates for HCPCS Q4257

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,071.52 / $1,071.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $933.25 / $1,096.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $870.96 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $912.01 / $912.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $851.14 / $1,862.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $645.65 / $3,630.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $1,412.54 / $1,659.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $489.78 / $1,659.59