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Kentucky rates for HCPCS Q4225

AmnioBind or DermaBind TL, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,427.45 / $1,427.45 / $1,427.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.45 / $1,427.45 / $1,441.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.45 / $1,427.45 / $1,427.45
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,427.45 / $1,927.06 / $2,283.92
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.45 / $1,570.20 / $2,069.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,427.45 / $1,479.00 / $1,479.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.45 / $1,427.45 / $2,002.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $1,484.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.45 / $1,427.45 / $1,528.80