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Kentucky rates for HCPCS Q4159

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.96 / $204.96 / $204.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.96 / $204.96 / $207.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.02 / $241.69 / $241.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.96 / $204.96 / $239.87
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.96 / $286.94 / $327.94
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.96 / $225.46 / $297.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.96 / $1,076.67 / $1,076.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.96 / $204.96 / $576.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.93 / $262.93 / $341.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.96 / $204.96 / $257.43