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Kentucky rates for HCPCS L3390

Outflare Wedge (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.17 / $30.89 / $32.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.54 / $30.89 / $32.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.40 / $60.10 / $63.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.11 / $31.25 / $31.94
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.08 / $83.66 / $96.18
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.10 / $74.70 / $99.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.99 / $43.99 / $70.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.11 / $43.99 / $286.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.01 / $39.04 / $48.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.98 / $28.85 / $39.61