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Kentucky 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 / $245.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.30 / $245.30 / $252.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.70 / $289.27 / $289.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.30 / $245.30 / $248.37
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.30 / $343.42 / $392.48
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.30 / $269.83 / $355.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.30 / $274.62 / $274.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.87 / $245.30 / $347.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.23 / $251.54 / $291.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.30 / $245.30 / $262.72