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Kentucky rates for HCPCS 15136

Dermal Agrft F/S/N/H/F/G/M/D Gt Ea 100 Cm/Ea

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.91 / $400.00 / $3,740.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.91 / $85.12 / $95.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,041.00 / $1,968.00 / $2,894.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.28 / $86.39 / $124.75
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.25 / $102.59 / $119.77
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.73 / $115.85 / $177.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.97 / $151.97 / $151.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.53 / $98.51 / $174.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $115.49
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
$75.97 / $98.24 / $162.88