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Kansas rates for HCPCS 40702

Plstc Rpr Cl Lip/Nsl Dfrm Prim Bi 1 2 Stgs

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
$1,045.38 / $1,074.96 / $1,670.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$641.00 / $3,278.47 / $3,451.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,221.95 / $1,437.59 / $1,437.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.00 / $624.00 / $624.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.97 / $1,337.00 / $1,672.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,337.91 / $7,661.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$935.29 / $1,213.78 / $7,507.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,967.00 / $4,960.00 / $11,732.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$967.69 / $1,213.78 / $2,167.94