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Kentucky rates for HCPCS Q4251

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $144.54 / $144.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $147.91 / $151.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $102.33 / $102.33
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41,686.94 / $51,286.14 / $56,234.13
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $151.36 / $51,286.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $288.40 / $288.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $151.36 / $812.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $158.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $154.88 / $181.97