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Kansas rates for HCPCS 12021

Tx Superficial Wound Dehiscence W/Packing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$957.00 / $3,506.00 / $10,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.74 / $163.62 / $239.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.00 / $215.60 / $341.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.09 / $182.46 / $217.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.00 / $330.00 / $330.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.97 / $204.26 / $280.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.27 / $204.00 / $1,915.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.65 / $201.16 / $1,316.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.00 / $550.00 / $1,769.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.55 / $189.22 / $269.50