go back

Kentucky rates for HCPCS 15572

Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$610.65 / $790.82 / $2,747.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$610.65 / $737.48 / $902.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.00 / $3,428.00 / $8,517.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.16 / $647.20 / $980.34
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$689.63 / $839.72 / $980.35
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.10 / $948.23 / $1,599.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$560.36 / $1,244.02 / $1,829.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.22 / $848.81 / $1,355.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,039.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.00 / $2,194.00 / $8,174.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$719.39 / $887.09 / $1,425.38