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Kansas rates for HCPCS 21215

Graft Bone Mandible

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,131.00 / $7,655.00 / $14,450.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$780.12 / $3,435.88 / $6,481.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$805.00 / $4,478.12 / $4,713.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,656.28 / $1,948.56 / $5,392.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$985.00 / $985.00 / $985.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$934.17 / $3,574.96 / $7,077.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$823.36 / $4,028.30 / $10,568.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,223.36 / $5,049.43 / $29,962.16
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
$3,083.21 / $4,690.52 / $6,607.51