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Kentucky rates for HCPCS Q4219

Surgigraft-Dual Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.00 / $960.00 / $960.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$960.00 / $960.00 / $996.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$960.00 / $960.00 / $960.00
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
Facility
Modifier
Low / Median / High Price
$1,020.00 / $1,020.00 / $1,020.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,020.00 / $1,020.00 / $1,020.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$788.99 / $788.99 / $812.66