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Kentucky rates for HCPCS 15574

Formation of direct or tubed pedicle, with or without transfer; forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands or feet

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$611.03 / $823.05 / $2,747.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.03 / $762.52 / $943.42
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
$579.91 / $686.82 / $989.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$678.10 / $825.68 / $963.96
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$664.80 / $937.37 / $1,561.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$607.09 / $1,223.23 / $1,829.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.27 / $882.18 / $1,399.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,015.08
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
$757.23 / $929.31 / $1,461.93