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Kansas 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
$325.27 / $325.27 / $343.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.30 / $250.21 / $343.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.05 / $188.39 / $199.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.00 / $187.00 / $187.00
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 / $245.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.71 / $348.77 / $489.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.87 / $241.87 / $1,071.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.30 / $245.30 / $355.69