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Kentucky rates for HCPCS Q4154

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.90 / $131.90 / $131.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.90 / $131.90 / $133.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.32 / $155.54 / $155.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.90 / $131.90 / $145.71
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.90 / $184.66 / $211.04
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.90 / $145.09 / $191.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.90 / $382.50 / $382.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.90 / $131.90 / $195.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.66 / $137.17 / $173.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.90 / $131.90 / $194.64