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Kentucky rates for HCPCS A4615

Cannula Nasal (Special Coverage Instructions Apply. See Cim: 60-4 And Mcm: 3312)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.52 / $0.60 / $0.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.62 / $0.87
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.02 / $1.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $0.51 / $1.02
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.82 / $1.43 / $1.68
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.28 / $1.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.61 / $0.76 / $1.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.52 / $0.63 / $2.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $45.00 / $45.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.50 / $0.75