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Arizona rates for HCPCS Q4113

Graftjacket Xpress

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$726.98 / $1,795.00 / $1,795.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.00 / $726.98 / $762.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$608.86 / $1,438.44 / $3,557.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$618.38 / $761.08 / $1,798.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.88 / $762.88 / $762.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.88 / $762.88 / $762.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$726.98 / $872.38 / $1,475.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,997.50 / $1,997.50 / $3,410.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,997.50 / $1,997.50 / $1,997.50