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Alaska rates for HCPCS Q4187

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.52 / $456.26 / $456.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.30 / $245.30 / $245.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.30 / $245.30 / $347.13
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.87 / $456.26 / $638.76
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.30 / $245.30 / $319.50
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.38 / $783.20 / $3,495.87
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.28 / $538.45 / $587.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.30 / $456.26 / $979.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.30 / $303.41 / $587.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.95 / $367.95 / $735.90