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Kentucky rates for HCPCS 21275

Secondary Revision Orbitocraniofacial Rcnstj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.48 / $1,243.00 / $8,229.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$702.48 / $813.00 / $1,004.68
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
$627.44 / $788.73 / $1,176.91
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.99 / $1,084.09 / $1,250.59
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$774.36 / $1,045.39 / $1,548.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$950.80 / $950.80 / $989.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$836.31 / $1,125.43 / $1,686.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,006.67
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
$732.52 / $1,022.10 / $1,588.66