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Kentucky rates for HCPCS Q4139

AmnioMatrix or BioDMatrix, injectable, 1 cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.00 / $640.00 / $640.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.00 / $640.00 / $1,820.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.80 / $392.70 / $424.92
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.98 / $70.98 / $69,999.30
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.58 / $58.31 / $70.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00