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Kansas rates for HCPCS 15760

Graft; composite (eg, full thickness of external ear or nasal ala), including primary closure, donor area

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,006.77 / $3,701.00 / $10,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.27 / $750.30 / $1,148.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$578.00 / $806.99 / $1,629.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$823.29 / $968.58 / $1,149.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.00 / $442.00 / $442.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$715.43 / $1,023.32 / $1,410.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$696.00 / $1,020.25 / $4,330.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$842.57 / $1,001.26 / $6,301.44
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
$826.13 / $879.47 / $1,327.69