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Kentucky rates for HCPCS 15115

Epidermal Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$577.29 / $787.00 / $5,320.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.29 / $685.72 / $897.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,359.00 / $2,292.00 / $4,229.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$573.42 / $696.74 / $1,002.77
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.38 / $804.12 / $938.79
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$709.55 / $908.03 / $1,483.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,191.29 / $1,191.29 / $1,587.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$658.41 / $847.58 / $1,458.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $964.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$590.00 / $1,450.00 / $4,039.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.05 / $907.35 / $1,353.33