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Kentucky rates for HCPCS Q4188

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$487.59 / $487.59 / $487.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.59 / $487.59 / $492.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.59 / $487.59 / $497.34
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$487.59 / $682.63 / $780.14
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.59 / $536.35 / $707.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$487.59 / $833.00 / $833.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.59 / $487.59 / $712.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $513.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.59 / $487.59 / $629.96