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Kentucky rates for HCPCS 40804

Rmvl Embedded Fb Vestibule Mouth Smpl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.63 / $173.85 / $8,229.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.63 / $165.87 / $222.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,013.00 / $8,584.00 / $11,253.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.44 / $152.83 / $234.42
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.20 / $150.09 / $173.15
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.93 / $155.44 / $266.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.54 / $197.27 / $197.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.22 / $202.95 / $396.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$523.00 / $1,450.00 / $5,301.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.64 / $248.56 / $375.48