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Kansas rates for HCPCS 15050

Pinch Graft 1/Mlt Sm Ulcer Tip/Oth Ar Up To 2 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,700.00 / $4,387.00 / $10,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.45 / $507.71 / $799.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.00 / $310.07 / $607.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.75 / $596.17 / $746.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.00 / $442.00 / $442.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.81 / $671.96 / $943.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.45 / $614.57 / $2,145.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.28 / $688.18 / $4,336.64
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
$515.90 / $613.02 / $922.34