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Kentucky rates for HCPCS Q4258

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.75 / $89.75 / $89.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.75 / $89.75 / $90.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.61 / $89.75 / $89.75
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.75 / $121.16 / $143.60
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.75 / $98.73 / $130.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.75 / $1,417.80 / $1,417.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.41 / $89.75 / $127.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.81 / $82.41 / $93.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.75 / $89.75 / $96.12