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Iowa 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
$241.87 / $365.08 / $365.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.30 / $245.30 / $272.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.66 / $296.42 / $319.61
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.54 / $245.30 / $443.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.87 / $323.08 / $399.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.87 / $241.87 / $483.74
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$276.70 / $296.42 / $364.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.24 / $296.42 / $364.09
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.90 / $413.90 / $503.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.30 / $245.30 / $270.49
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.87 / $241.87 / $241.87
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.08 / $241.87 / $241.87