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Arizona rates for HCPCS Q2028

Injection, sculptra, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $1.56 / $2.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.71 / $675.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $2.85 / $4.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $0.66 / $0.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.66 / $0.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.69 / $0.90 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.67 / $0.67 / $0.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.67 / $0.67 / $0.67