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Kentucky rates for HCPCS 15130

Dermal Autograft Trunk/Arm/Leg 1st 100 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$492.84 / $711.56 / $5,320.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.84 / $592.54 / $698.67
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
$456.20 / $582.51 / $840.65
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$557.36 / $678.68 / $792.34
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.99 / $766.38 / $1,293.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,005.45 / $1,005.45 / $1,587.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.20 / $688.28 / $1,243.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $840.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.00 / $1,945.00 / $5,995.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.65 / $736.44 / $1,201.25