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Kansas rates for HCPCS 15572

Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $3,890.45 / $9,120.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $812.83 / $1,479.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $2,344.23 / $2,344.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,023.29 / $1,174.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $501.19 / $501.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,047.13 / $1,584.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $1,122.02 / $9,549.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,023.29 / $6,456.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $2,884.03 / $6,309.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $912.01 / $1,258.93