go back

Kansas rates for HCPCS 21255

Rcnstj Zygmtc Arch/Glenoid Fossa W/Bone Cartlg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,757.00 / $6,071.00 / $13,151.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,207.99 / $1,347.14 / $2,142.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,720.83 / $2,024.50 / $2,024.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.00 / $624.00 / $624.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,399.24 / $1,768.26 / $2,765.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $1,951.63 / $5,323.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,391.01 / $1,710.40 / $10,981.50
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
$1,391.01 / $1,695.41 / $2,249.42