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Arizona 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
$490.60 / $490.60 / $2,225.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.30 / $250.21 / $272.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.20 / $470.61 / $1,163.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.31 / $249.00 / $588.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.88 / $245.30 / $245.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.30 / $245.30 / $245.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.90 / $290.24 / $540.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.87 / $241.87 / $524.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.30 / $245.30 / $245.30