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Kentucky rates for HCPCS 12055

Repair Intermediate F/E/E/N/L&/Muc 12.6-20.0cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.76 / $489.13 / $5,320.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.71 / $399.64 / $471.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,359.00 / $2,292.00 / $4,059.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.52 / $319.26 / $484.60
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$282.25 / $343.68 / $401.24
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.49 / $442.75 / $889.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.89 / $509.16 / $1,587.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.20 / $433.67 / $833.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $578.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $597.00 / $1,895.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.03 / $442.41 / $776.45