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Kansas rates for HCPCS 21421

Closed Tx Palatal/Maxillary Fx W/Fixation/Splint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,797.00 / $5,939.00 / $13,151.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$547.54 / $646.45 / $1,028.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$607.00 / $1,566.18 / $1,648.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$690.57 / $812.43 / $953.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.00 / $624.00 / $624.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$639.82 / $854.23 / $1,423.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$563.80 / $917.92 / $3,595.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$684.94 / $902.87 / $4,812.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,521.00 / $3,125.00 / $5,565.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.98 / $796.45 / $1,151.94