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Wisconsin rates for HCPCS Q4187

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

Facilitymedian $331 · 10th–90th $245–$6,4570%10%20%10th90th$331Professionalmedian $245 · 10th–90th $200–$4270%20%40%10th90th$245$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $6,456.54 / $6,456.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $245.47 / $269.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $380.19 / $741.31
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $512.86 / $891.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $223.87 / $316.23
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $251.19 / $549.54
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $269.15 / $269.15
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $251.19 / $549.54
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $239.88 / $512.86
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $70.79 / $158.49
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $263.03 / $263.03
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $257.04 / $416.87
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $302.00 / $501.19
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $275.42 / $1,071.52
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $275.42 / $1,071.52
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $331.13 / $407.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $245.47 / $575.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $125.89 / $245.47