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Kansas rates for HCPCS 21245

Rcnstj Mndbl/Maxl Subpriosteal Implant Partial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,400.00 / $7,655.00 / $14,450.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$955.36 / $1,225.89 / $1,962.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,186.23 / $1,395.56 / $1,790.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$985.00 / $985.00 / $985.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,010.98 / $1,409.18 / $2,225.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$955.36 / $1,550.16 / $6,427.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,178.67 / $1,582.41 / $11,980.42
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
$1,159.08 / $1,399.83 / $1,971.93