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Kentucky rates for HCPCS 40701

Plstc Rpr Cl Lip/Nsl Dfrm Prim Bi 1 Stg Px

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,137.68 / $1,377.08 / $8,229.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,137.68 / $1,349.32 / $1,488.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,712.00 / $5,199.00 / $11,294.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$910.43 / $1,103.23 / $1,588.10
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,116.19 / $1,359.12 / $1,586.74
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$995.27 / $1,532.02 / $2,188.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,340.26 / $1,340.26 / $3,532.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,087.33 / $1,381.40 / $2,209.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,422.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,150.00 / $2,500.00 / $10,069.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,003.13 / $1,339.04 / $1,990.97