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Arizona rates for HCPCS Q4108

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.40 / $77.08 / $77.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.54 / $38.93 / $42.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.70 / $96.16 / $237.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.34 / $50.88 / $120.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.54 / $38.54 / $38.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.54 / $38.54 / $38.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.54 / $54.03 / $109.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.12 / $49.12 / $143.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.54 / $38.54 / $38.54