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Kentucky rates for HCPCS Q4143

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.92 / $33.92 / $33.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.92 / $33.92 / $34.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.92 / $33.92 / $33.92
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.92 / $47.49 / $54.27
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.92 / $37.31 / $54.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.92 / $33.92 / $33.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.92 / $33.92 / $48.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $33.92 / $44.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.92 / $33.92 / $36.33