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Information for
Kansas Women

Early Detection Works

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Reimbursement Information

Early Detection Works
Kansas Breast and Cervical Screening Program
Contractor Reimbursement Information
Attachment B

Please TAB through the form as information is entered. Use the ENTER button only to submit the completed form.

Although EDW will reimburse contractors according to the Reimbursement Fee Schedule (Attachment C), for CDC reporting purposes we must know the contractor's customary charge for each of the following. If you will not directly provide that service but will instead subcontract for said service, please indicate "n/a" in the appropriate blanks.

Office Visits

Breast

Fine Needle Aspiration

Excisional Biopsy

Incisional Biopsy

Radiology

Lab and Pathology

Cervical

Anesthesia