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Kentucky rates for HCPCS 0491T

Ablative laser treatment, non-contact, full field and fractional ablation, open wound, per day, total treatment surface area; first 20 sq cm or less

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,013.00 / $3,389.00 / $3,766.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,249.87 / $55,999.44 / $83,999.16
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74,024.27 / $104,998.95 / $104,998.95