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EpiFix

Texas rates for HCPCS Q4186

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

Rates data updated July 2026.

Facilitymedian $162 · 10th–90th $151$5500%20%10th90th$162Professionalmedian $151 · 10th–90th $126$1660%50%10th90th$151$2.0$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$269.15
Typical High
$549.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$169.82
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
BCBS
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$457.09
BCBS
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Christus
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$288.40
Typical High
$288.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$316.23
Typical High
$851.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$660.69
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$354.81
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$186.21
Typical High
$234.42
Molina
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$151.36
Typical High
$158.49
Providence
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$398.11
Providence
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$125.89
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$169.82