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Kansas rates for HCPCS 21485

Closed Tx Temporomandibular Dislc Comp 1st/Sbsq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.30 / $3,569.00 / $10,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.42 / $971.47 / $1,541.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.09 / $823.64 / $1,142.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.00 / $442.00 / $442.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$639.24 / $1,015.62 / $1,631.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$730.42 / $1,114.34 / $2,505.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.54 / $1,036.57 / $7,097.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$825.00 / $2,081.00 / $3,918.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.34 / $1,011.93 / $1,504.94