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Kentucky rates for HCPCS A2005

Microlyte Matrix, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $125.89 / $144.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $177.83 / $251.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $112.20 / $208.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $407.38 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $223.87 / $1,230.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $158.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $131.83