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Kentucky rates for HCPCS A4649

Surgical Supply; Miscellaneous

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.00 / $120.00 / $120.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $120.00 / $120.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.03
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.55 / $0.55 / $0.55
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.45 / $0.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.87 / $2.87 / $42.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,000.00 / $3,000.00 / $3,000.00