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Kentucky rates for HCPCS 0258U

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,013.50 / $3,675.00 / $16,346.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,572.50 / $2,940.00 / $3,675.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,500.00 / $1,500.00 / $1,500.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,275.00 / $1,500.00 / $1,500.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,410.00 / $41,999.58 / $92,610.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,226.25 / $5,145.00 / $68,163.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,388.75 / $2,859.52 / $4,849.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,265.14 / $17,713.50 / $17,713.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,543.50 / $2,205.00 / $3,675.00