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Kansas rates for HCPCS 21147

Rcnstj Midface Lefort I 3/> Piece W/Bone Grafts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,276.40 / $5,467.00 / $13,151.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,541.67 / $1,718.54 / $2,734.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,581.67 / $3,037.27 / $3,037.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.00 / $624.00 / $624.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,818.59 / $2,248.25 / $3,357.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,436.81 / $2,317.63 / $4,960.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,726.55 / $2,083.58 / $14,973.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,967.00 / $4,960.00 / $11,732.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,711.51 / $2,014.36 / $2,846.90