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Georgia 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
$245.30 / $245.30 / $1,032.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.30 / $245.30 / $272.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.30 / $245.30 / $250.20
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.30 / $245.30 / $480.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.42 / $231.42 / $245.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.30 / $245.30 / $312.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.73 / $242.73 / $585.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.97 / $239.19 / $453.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.30 / $245.30 / $404.75