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Kentucky rates for HCPCS L3255

Nonstandard size or length

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $19.05 / $19.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $23.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $35.48 / $87.10
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $81.28 / $53,703.18
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $69.18 / $91.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $64.57 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $17.38 / $23.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $42.66 / $53.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $19.95 / $19.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $51.29 / $51.29