go back

Kentucky rates for HCPCS 39501

Repair Laceration Diaphragm Any Approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.97 / $864.86 / $8,229.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,990.00 / $10,099.00 / $25,200.51
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$808.19 / $1,100.74 / $1,269.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$968.57 / $968.57 / $1,166.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.00 / $4,298.00 / $30,001.00