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Kentucky rates for HCPCS 21245

Rcnstj Mndbl/Maxl Subpriosteal Implant Partial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$787.10 / $1,243.00 / $8,229.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$819.18 / $1,007.86 / $1,561.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,104.00 / $5,280.00 / $12,101.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$719.82 / $882.83 / $1,328.52
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$853.61 / $1,205.57 / $1,390.71
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$947.23 / $1,214.18 / $1,937.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$980.16 / $1,584.46 / $1,584.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$980.16 / $1,405.10 / $2,099.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,415.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.00 / $4,539.00 / $10,113.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$998.38 / $1,424.85 / $2,226.26