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Kansas rates for HCPCS 25455

Epiphysl Arrst Epiphysiod/Stapling Dstl Rds&Ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,070.00 / $4,919.00 / $12,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.02 / $743.05 / $1,159.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$613.00 / $1,803.72 / $1,898.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$937.53 / $1,102.98 / $1,102.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.00 / $505.00 / $505.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.21 / $939.75 / $1,435.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$743.05 / $1,159.13 / $8,419.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.27 / $919.55 / $5,633.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $4,916.00 / $11,618.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.50 / $871.56 / $1,265.07