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Arizona rates for HCPCS A2016

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $72.44 / $72.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $93.33 / $123.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $275.42 / $676.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $251.19 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $147.91 / $186.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $125.89