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Kentucky rates for HCPCS Q4185

Cellesta Flowable Amnion (25 mg per cc); per 0.5 cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.62 / $588.62 / $588.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.62 / $588.62 / $1,646.03
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.11 / $93.11 / $93.12
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.98 / $76.48 / $93.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$781.33 / $781.33 / $781.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00