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Kentucky rates for HCPCS 45121

Prctect Compl W/Stot/Tot Colct W/Mlt Bxs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,241.00 / $1,854.72 / $8,229.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,583.48 / $1,742.13 / $2,149.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,923.72 / $7,537.12 / $11,845.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,377.10 / $1,668.72 / $2,392.89
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,649.36 / $2,263.83 / $2,611.48
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,617.02 / $2,263.83 / $3,234.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,988.99 / $1,988.99 / $1,988.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,680.55 / $2,162.51 / $3,304.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,778.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.00 / $2,513.00 / $27,879.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,596.59 / $2,113.19 / $3,533.07