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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
$1,949.84 / $6,309.57 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $891.25 / $2,089.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,258.93 / $1,258.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $977.24 / $977.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,122.02 / $1,698.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,348.96 / $11,748.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,047.13 / $14,791.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $4,677.35 / $8,912.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,000.00 / $1,380.38