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Kentucky rates for HCPCS Q4175

MiroDerm Bio Matrix Fenestrat EX SHEE 2X2CM

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.54 / $91.54 / $91.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.54 / $91.54 / $92.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.80 / $91.54 / $91.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.54 / $128.16 / $146.46
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.54 / $100.69 / $132.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.54 / $136.00 / $136.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.72 / $91.54 / $118.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.56 / $70.42 / $95.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.39 / $91.54 / $98.04