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Kansas rates for HCPCS D4264

Bone Repl Gr - Ret Nat Tooth - Ea Add Site Quad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.85 / $212.85 / $212.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.83 / $163.36 / $212.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.08 / $294.08 / $294.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.11 / $180.35 / $316.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,053.42 / $1,053.42 / $1,053.42