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Kentucky rates for HCPCS 75803

Lymphangiography, extremity only, bilateral, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.56 / $1,182.15 / $1,313.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.92 / $1,314.86 / $1,427.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.99 / $329.86 / $925.87
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.12 / $217.43 / $307.11
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.25 / $82.43 / $335.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.62 / $279.62 / $2,873.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.60 / $331.80 / $544.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $67.44 / $265.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.58 / $1,223.25 / $2,224.46