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Kentucky rates for HCPCS A6025

Gel sheet for dermal or epidermal application, (e.g., silicone, hydrogel, other), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.83 / $8.99 / $15.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.51 / $9.66 / $13.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $5.62 / $12.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.46 / $19.46 / $19.46
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.99 / $19.46 / $46.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.47 / $13.47 / $35.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.18 / $9.27 / $14.86