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Kentucky rates for HCPCS Q4134

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.66 / $129.66 / $129.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.66 / $129.66 / $134.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.47 / $162.08 / $162.08
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.17 / $350.09 / $55,999.44
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.41 / $74.06 / $47,249.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.08 / $162.08 / $162.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.08 / $162.08 / $222.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.08 / $162.08 / $210.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.08 / $162.08 / $168.56