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Kentucky rates for HCPCS Q4235

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.98 / $87.98 / $87.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.98 / $87.98 / $88.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.98 / $87.98 / $87.98
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.98 / $123.17 / $140.77
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.98 / $96.78 / $127.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.98 / $149.77 / $149.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.98 / $87.98 / $150.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.69 / $94.93 / $123.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.98 / $87.98 / $94.23