go back

Kansas rates for HCPCS A4470

Gravlee Jet Washer (Special Coverage Instructions Apply. See Cim: 50-4 And Mcm: 2320)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.63 / $4.63 / $4.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.35 / $2.72 / $4.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.94 / $25.18 / $26.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.00 / $25.00 / $25.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.57 / $3.57 / $3.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.35 / $4.46 / $6.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.88 / $2.81 / $33.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.80 / $2.70 / $4.75