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Arizona rates for HCPCS Q4100

Skin substitute, not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$365.81 / $1,190.70 / $7,792.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.65 / $38.59 / $2,673.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.47 / $327.16 / $809.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.63 / $173.10 / $408.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.40 / $125.40 / $125.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.65 / $85.00 / $147.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.40 / $147.40 / $147.40