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Kansas rates for HCPCS 40804

Rmvl Embedded Fb Vestibule Mouth Smpl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.64 / $7,365.00 / $13,151.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.76 / $194.70 / $314.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.40 / $167.40 / $274.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.44 / $222.11 / $327.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $217.24 / $1,786.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.06 / $289.49 / $1,409.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$825.00 / $1,786.00 / $3,918.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.03 / $250.53 / $383.14