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Arkansas rates for HCPCS Q4187

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.36 / $294.36 / $300.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.30 / $272.52 / $294.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$262.41 / $262.41 / $262.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.33 / $262.41 / $262.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.42 / $245.30 / $245.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.30 / $245.30 / $266.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.77 / $245.30 / $282.10