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Kansas rates for HCPCS 21275

Secondary revision of orbitocraniofacial reconstruction

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
$766.88 / $852.24 / $1,334.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,065.38 / $1,253.39 / $1,253.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$985.00 / $985.00 / $985.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.95 / $1,118.88 / $1,694.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$852.24 / $1,334.54 / $11,012.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$854.17 / $1,017.31 / $14,641.99
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
$851.08 / $1,005.82 / $1,399.02