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Arizona rates for HCPCS A2014

Omeza collagen matrix, per 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.54 / $124.54 / $124.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.00 / $124.54 / $127.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.63 / $173.10 / $408.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.69 / $130.69 / $130.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.69 / $130.69 / $130.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.88 / $130.77 / $252.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.13 / $128.13 / $270.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.13 / $128.13 / $128.13