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Kentucky rates for HCPCS 15576

Formation of direct or tubed pedicle, with or without transfer; eyelids, nose, ears, lips, or intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$611.16 / $788.68 / $8,067.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.83 / $670.29 / $837.51
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
$506.79 / $614.11 / $890.56
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$607.39 / $739.59 / $863.45
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$582.08 / $835.16 / $1,419.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$539.66 / $1,095.68 / $1,829.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.84 / $786.63 / $1,325.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $922.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$523.00 / $1,450.00 / $4,039.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.74 / $837.24 / $1,291.77