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Kentucky rates for HCPCS Q4217

WoundFix, BioWound, WoundFix Plus, BioWound Plus, WoundFix Xplus or BioWound Xplus, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $316.23 / $316.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $316.23 / $380.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $316.23 / $323.59
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $316.23 / $512.86
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $338.84 / $446.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $1,230.27 / $1,230.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $316.23 / $1,348.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $446.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $316.23 / $1,445.44