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Kentucky rates for HCPCS Q4128

FlexHD, or AllopatchHD, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.91 / $29.91 / $23,909.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.91 / $29.91 / $30.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.91 / $29.91 / $30.69
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.91 / $41.87 / $47.86
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.91 / $32.90 / $47.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.91 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.91 / $29.91 / $42.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.47 / $29.91 / $31.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.91 / $29.91 / $32.03