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Kentucky rates for HCPCS Q4255

REGUaRD, for topical use only, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.17 / $90.17 / $90.17
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.79 / $74.06 / $90.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00