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Kansas rates for HCPCS 15121

Split Agrft F/S/N/H/F/G/M/D Gt Ea 100 Cm/Ea 1 %

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.55 / $4,376.00 / $12,600.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.00 / $505.00 / $505.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.53 / $280.55 / $2,819.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.00 / $550.00 / $1,769.00