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Kentucky rates for HCPCS Q4113

Graftjacket Xpress

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$718.00 / $718.00 / $718.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.00 / $718.00 / $744.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,041.00 / $1,084.38 / $1,084.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.00 / $919.55 / $919.55
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.17 / $1,737.95 / $1,737.95
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.79 / $74.06 / $90.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.88 / $762.88 / $762.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.88 / $762.88 / $1,139.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,797.75 / $1,997.50 / $2,057.42