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Kansas rates for HCPCS 21089

Unlisted maxillofacial prosthetic procedure

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $630.96 / $630.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $436.52 / $1,698.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $416.87 / $1,778.28