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EpiCord

Pennsylvania rates for HCPCS Q4187

Epicord, per sq cm (add-on, list separately in addition to primary procedure)

Rates data updated July 2026.

How much does EpiCord cost?

$245

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $245 for this service. The price depends on where it is billed: about $245 from a physician practice, and about $245 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$245$245 to $245
FacilityA hospital or hospital-owned outpatient department$245$245 to $269

How much rates vary

Facilitymedian $245 · 10th to 90th $214 to $468Professionalmedian $245 · 10th to 90th $126 to $269
$200$1K$5K$20Kfacility $245professional $245

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$269.15
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$269.15
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$446.68
Typical High
$478.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$194.98
Typical High
$263.03
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$162.18
Typical High
$229.09
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$257.04
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$281.84
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$281.84
United
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$245.47

Where Pennsylvania sits

Rates are fairly even across states for this service. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Pennsylvania· 8th of 51

$245

AK $275MN $200

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.