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Arizona rates for HCPCS Q2028

Injection, sculptra, 0.5 mg

Facilitymedian $2 · 10th–90th $1–$50%10%10th90th$2Professionalmedian $170 · 10th–90th $1–$6760%20%40%10th90th$170$1.0$5.0$20.0$100.0$500.0

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
$1.38 / $1.45 / $2.75
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.05 / $645.65 / $676.08
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.66 / $3.02 / $5.37
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.68 / $1.10 / $1.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.66 / $0.66 / $0.66
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.69 / $0.89 / $100.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.68 / $0.68 / $0.68
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.66 / $2.14
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.68 / $0.68 / $0.68