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Kentucky rates for HCPCS 66984

Xcapsl Ctrc Rmvl Insj Io Lens Prosth W/O Ecp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.29 / $2,779.52 / $9,757.32
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$107.24 / $111.02 / $160.76
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$402.15 / $416.31 / $602.85
Aetna
Facility/Professional
Facility
Modifier
55
Low / Median / High Price
$80.43 / $120.57 / $4,687.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.49 / $724.47 / $5,345.60
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$254.64 / $288.63 / $381.95
Aetna
Facility/Professional
Professional
Modifier
54
Low / Median / High Price
$381.95 / $432.95 / $572.92
Aetna
Facility/Professional
Professional
Modifier
55
Low / Median / High Price
$76.39 / $86.59 / $114.59
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.62 / $491.82 / $688.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,487.00 / $4,604.00 / $8,913.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.91 / $672.46 / $1,026.80
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$844.36 / $1,008.69 / $1,540.20
Anthem BCBS
Facility/Professional
Professional
Modifier
54
Low / Median / High Price
$1,900.00 / $1,900.00 / $1,900.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$487.46 / $536.21 / $779.94
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.46 / $536.21 / $779.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.32 / $697.45 / $5,217.00
Cigna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$120.35 / $120.35 / $120.35
Cigna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$421.21 / $421.21 / $421.21
Cigna
Facility/Professional
Facility
Modifier
55
Low / Median / High Price
$90.26 / $90.26 / $90.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.78 / $851.35 / $1,593.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $424.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$663.89 / $3,086.00 / $5,995.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.98 / $706.47 / $1,032.79