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Kentucky rates for HCPCS Q4152

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.72 / $50.72 / $50.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.72 / $50.72 / $51.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.37 / $50.72 / $50.72
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.72 / $71.01 / $81.15
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.72 / $55.79 / $73.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.71 / $97.75 / $97.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.41 / $50.71 / $71.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.22 / $54.62 / $71.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.72 / $50.72 / $61.87