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Arizona rates for HCPCS Q4114

Integra flowable wound matrix, injectable, 1 cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.85 / $2,988.82 / $2,988.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.41 / $1,509.35 / $1,643.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,205.04 / $2,846.91 / $7,040.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,223.86 / $1,506.30 / $3,558.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,494.41 / $1,494.41 / $1,494.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.41 / $1,494.41 / $1,494.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,442.00 / $1,781.29 / $3,443.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,542.24 / $1,542.24 / $4,494.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.41 / $1,494.41 / $1,494.41