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Kentucky rates for HCPCS Q4257

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $912.01 / $912.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $912.01 / $954.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $912.01 / $912.01
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $912.01 / $1,479.11
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,000.00 / $1,318.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,412.54 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $912.01 / $3,890.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $1,288.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $489.78 / $1,659.59