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Kentucky rates for HCPCS Q4169

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,068.46 / $2,068.46 / $2,068.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,068.46 / $2,068.46 / $2,089.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,068.46 / $2,068.46 / $2,068.46
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,068.46 / $2,895.86 / $3,309.55
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,068.46 / $2,275.32 / $2,999.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,068.46 / $2,825.40 / $2,825.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,068.46 / $2,068.46 / $3,042.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.06 / $228.88 / $2,309.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,068.46 / $2,068.46 / $2,220.57