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Arizona rates for HCPCS Q4125

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.74 / $127.74 / $127.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.74 / $138.91 / $138.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.20 / $189.49 / $468.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.45 / $100.26 / $236.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.74 / $140.51 / $259.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.91 / $138.91 / $138.91