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Kentucky rates for HCPCS 67115

Release Encircling Material Posterior Segment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$506.26 / $557.00 / $5,320.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.63 / $506.26 / $621.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,215.00 / $2,292.00 / $4,229.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.26 / $424.58 / $656.82
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$444.79 / $623.80 / $712.93
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.58 / $623.80 / $891.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$452.68 / $553.64 / $2,280.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.70 / $561.89 / $1,022.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $305.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.00 / $2,723.00 / $6,295.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.09 / $524.13 / $914.34