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Kansas rates for HCPCS 15576

Formation of direct or tubed pedicle, with or without transfer; eyelids, nose, ears, lips, or intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,700.00 / $4,919.00 / $12,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.58 / $786.63 / $1,062.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$539.00 / $1,123.33 / $1,182.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$790.81 / $930.36 / $1,102.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.00 / $505.00 / $505.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.91 / $964.78 / $1,323.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$648.86 / $959.61 / $4,330.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$805.67 / $946.10 / $5,828.24
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
$796.41 / $834.28 / $1,230.22