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Kansas rates for HCPCS 57155

Insertion Uterine Tandem&/Vaginal Ovoids

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $4,521.50 / $18,288.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.88 / $383.32 / $581.22
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.76 / $239.76 / $453.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.17 / $391.17 / $614.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.68 / $499.19 / $682.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.58 / $571.58 / $3,943.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.63 / $554.02 / $4,954.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$525.00 / $1,353.00 / $12,150.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.22 / $483.53 / $716.13