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Kentucky rates for HCPCS Q4178

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.41 / $89.41 / $89.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.41 / $89.41 / $90.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.41 / $89.41 / $89.41
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.41 / $125.17 / $143.06
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.41 / $98.35 / $129.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.41 / $191.25 / $191.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.41 / $89.41 / $157.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.03 / $92.03 / $119.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.41 / $89.41 / $95.76