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Kentucky rates for HCPCS A2011

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.00 / $344.00 / $344.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.72 / $1.72 / $1.72
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.11 / $43,499.57 / $55,999.44
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.73 / $75.88 / $48,999.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00