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Kansas rates for HCPCS 43763

Perq Replacement Gtube Req Revj Gstrst Trc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.00 / $3,569.00 / $10,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.89 / $312.61 / $563.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.00 / $439.45 / $487.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.91 / $126.91 / $482.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.00 / $178.00 / $914.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.65 / $292.62 / $601.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.25 / $297.30 / $580.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.02 / $501.00 / $2,453.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.00 / $550.00 / $1,713.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.65 / $396.40 / $560.87