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Kansas rates for HCPCS 15115

Epidermal Agrft F/S/N/H/F/G/M/D Gt 1st 100 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
$591.91 / $712.49 / $1,086.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$946.66 / $1,113.72 / $1,274.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.00 / $442.00 / $442.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$685.98 / $1,010.38 / $1,358.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$668.86 / $1,019.15 / $4,882.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$818.94 / $947.37 / $6,003.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$909.00 / $2,081.00 / $3,842.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.65 / $865.50 / $1,266.64