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Kentucky rates for HCPCS Q4155

Neox Flo or Clarix Flo 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.62 / $26.62 / $26.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.62 / $26.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.62 / $26.62 / $26.62
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.62 / $29.28 / $42.59
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $29.28 / $42.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.62 / $26.62 / $32.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $42.24 / $42.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.17 / $26.62 / $26.62