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Kentucky rates for HCPCS Q4161

bio-ConneKt wound matrix, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,590.54 / $1,590.54 / $1,590.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,590.54 / $1,590.54 / $1,606.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,351.95 / $1,590.54 / $1,590.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,590.54 / $2,226.76 / $2,544.86
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,590.54 / $1,749.59 / $2,306.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,590.54 / $2,550.00 / $2,550.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,590.54 / $1,590.54 / $2,416.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,653.82 / $1,853.66 / $2,409.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,590.54 / $1,590.54 / $1,736.51