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Kentucky rates for HCPCS Q4147

Architect, Architect PX, or Architect FX, extracellular matrix, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.70 / $45.70 / $45.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.70 / $45.70 / $47.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.63 / $147.22 / $147.22
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.17 / $278.25 / $278.25
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.79 / $74.06 / $90.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.56 / $147.22 / $147.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.56 / $48.56 / $201.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $147.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.13 / $57.13 / $89.18