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Kentucky rates for HCPCS 12021

Treatment of superficial wound dehiscence; with packing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $1,000.00 / $3,890.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $144.54 / $218.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $2,137.96 / $2,951.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $128.82 / $199.53
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $158.49 / $186.21
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $177.83 / $213.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $234.42 / $1,318.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $186.21 / $831.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $165.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $602.56 / $3,162.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $151.36 / $269.15