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Kentucky rates for HCPCS A2014

Omeza collagen matrix, per 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.00 / $123.00 / $123.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.00 / $123.00 / $127.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.38 / $59.38 / $123.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.63 / $72.28 / $82.61
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.63 / $62.42 / $77.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.56 / $60.56 / $130.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.49 / $130.69 / $130.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.13 / $128.13 / $137.22