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Kansas rates for HCPCS 76642

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Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.31 / $214.23 / $540.74
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$32.67 / $44.77 / $74.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.36 / $83.67 / $131.50
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.44 / $36.44 / $110.50
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$92.15 / $92.15 / $147.86
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$34.68 / $51.29 / $73.31
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.73 / $60.73 / $130.52
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.02 / $24.76 / $34.52
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$91.10 / $91.10 / $195.77
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$39.01 / $59.66 / $59.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.00 / $90.19 / $209.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.74 / $122.74 / $122.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.46 / $117.62 / $241.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.20 / $108.38 / $153.97
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.47 / $42.82 / $60.73
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$43.41 / $66.83 / $93.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.16 / $105.20 / $224.84
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$76.50 / $76.50 / $146.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.14 / $107.30 / $546.22
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.65 / $42.49 / $203.94
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$54.05 / $64.31 / $342.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.95 / $173.16 / $210.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.76 / $98.05 / $154.59
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.65 / $38.71 / $69.34
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$53.31 / $59.93 / $94.63