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Kentucky rates for HCPCS Q2004

Bladder Calculi Irrig Sol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.14 / $97.14 / $206.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.14 / $97.14 / $100.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.76 / $116.41 / $119.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.50 / $25.03 / $29.45
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.20 / $12.20 / $19.52
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.99 / $11.99 / $12.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.22 / $103.22 / $103.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.44 / $150.44 / $150.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.19 / $101.19 / $101.19