go back

Kansas rates for HCPCS L3255

Non-Standard Size Or Length (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.57 / $19.57 / $19.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.57 / $19.57 / $24.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.99 / $139.65 / $148.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.61 / $138.61 / $138.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.72 / $23.72 / $23.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.32 / $23.72 / $23.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.57 / $19.57 / $24.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.50 / $50.90 / $65.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.90 / $50.90 / $50.90