go back

Kentucky rates for HCPCS Q4165

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.59 / $42.59 / $42.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.59 / $42.59 / $44.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.37 / $42.59
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.17 / $90.17 / $90.17
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.79 / $74.06 / $90.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.25 / $45.25 / $45.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.25 / $45.25 / $45.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.36 / $44.36 / $47.51