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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
$245.47 / $245.47 / $245.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $245.47 / $269.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $288.40 / $288.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $245.47 / $251.19
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $245.47 / $389.05
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $263.03 / $346.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $371.54 / $371.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $245.47 / $1,047.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $229.09 / $295.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $239.88 / $269.15