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Kansas rates for HCPCS 28490

Cltx Fx Grt Toe Phlx/Phlg W/O Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,361.00 / $3,506.00 / $10,439.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$114.45 / $129.58 / $170.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.31 / $143.97 / $227.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,074.00 / $1,381.68 / $2,299.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.68 / $166.68 / $193.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.54 / $179.79 / $283.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.71 / $182.95 / $408.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.97 / $185.55 / $1,086.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.00 / $550.00 / $1,769.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.33 / $164.14 / $231.94