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Kansas rates for HCPCS 21246

Reconstruction of mandible or maxilla, subperiosteal implant; complete

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
$771.46 / $856.78 / $1,363.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,120.54 / $1,318.28 / $1,318.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$985.00 / $985.00 / $985.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$906.67 / $1,129.75 / $1,676.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$856.78 / $1,363.45 / $11,012.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$890.69 / $1,082.35 / $13,243.52
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
$862.75 / $1,019.62 / $1,450.99