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Kansas rates for HCPCS 14021

Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,064.43 / $4,376.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.69 / $809.05 / $1,173.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$578.00 / $1,629.79 / $2,945.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$887.88 / $1,044.57 / $1,255.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.00 / $505.00 / $505.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.27 / $1,033.41 / $1,435.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$696.00 / $1,009.67 / $4,330.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$879.13 / $1,022.67 / $6,464.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$825.00 / $2,081.00 / $3,918.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$857.34 / $951.11 / $1,354.65