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Kansas rates for HCPCS 42120

Rescj Palate/Extensive Rescj Lesion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,700.00 / $6,071.00 / $12,237.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,518.42 / $2,518.42 / $2,518.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,129.00 / $3,365.00 / $3,365.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$898.92 / $1,299.70 / $4,510.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,037.00 / $3,096.00 / $5,562.00