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Kansas rates for HCPCS 72255

Myelography Thoracic Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.22 / $185.17 / $185.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.97 / $117.90 / $138.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,008.00 / $2,677.96 / $4,457.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.27 / $227.27 / $227.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.62 / $991.30 / $1,815.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.30 / $165.98 / $323.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.93 / $178.16 / $304.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.13 / $182.99 / $1,186.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.95 / $158.55 / $219.47