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Kentucky rates for HCPCS 00104

Anesthesia for electroconvulsive therapy

Facilitymedian $31 · 10th–90th $31–$310%50%100%$31Professionalmedian $437 · 10th–90th $95–$5750%10%20%10th90th$437$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
AA
Typical Low / Median / Typical High
$95.50 / $436.52 / $575.44
Cigna
Facility/Professional
Facility
Modifier
QK
Typical Low / Median / Typical High
$30.90 / $30.90 / $30.90
Cigna
Facility/Professional
Facility
Modifier
QX
Typical Low / Median / Typical High
$30.90 / $30.90 / $30.90
Cigna
Facility/Professional
Facility
Modifier
QY
Typical Low / Median / Typical High
$30.90 / $30.90 / $30.90
United
Facility/Professional
Professional
Modifier
AA
Typical Low / Median / Typical High
$79.43 / $79.43 / $79.43