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Kentucky rates for HCPCS Q4224

Human Health Factor 10 Amniotic Patch (HHF10-P), per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.50 / $34.50 / $34.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.11 / $43,499.57 / $55,999.44
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.51 / $76.48 / $48,999.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00