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Missouri 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 / $339.23 / $5,460.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.30 / $250.21 / $294.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.70 / $221.70 / $310.05
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.71 / $338.75 / $599.51
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 / $305.89