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ArthroFlex

Washington rates for HCPCS Q4125

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

Rates data updated October 2026.

How much does ArthroFlex cost?

$126

Typical negotiated rate. In Washington, October 2026.

Insurers have agreed to pay about $126 for this service. The price depends on where it is billed: about $126 from a physician practice, and about $186 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$126$126 to $138
FacilityA hospital or hospital-owned outpatient department$186$151 to $257

How much rates vary

Facilitymedian $186 · 10th to 90th $126 to $309Professionalmedian $126 · 10th to 90th $126 to $407
$100$200$500$1Kfacility $186professional $126

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Aetna
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$27.54
Median
$27.54
Typical High
$27.54
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$20.89
Median
$20.89
Typical High
$20.89
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$13.80
Median
$13.80
Typical High
$13.80
Asuris Northwest Health
Setting
Facility
Modifier
None
Typical Low
$95.50
Median
$204.17
Typical High
$354.81
Asuris Northwest Health
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$660.69
Typical High
$1,096.48
Cigna
Setting
Facility
Modifier
None
Typical Low
$151.36
Median
$186.21
Typical High
$295.12
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$281.84
Typical High
$363.08
Molina
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$50.12
Typical High
$75.86
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$107.15
Median
$114.82
Typical High
$199.53
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$117.49
Median
$125.89
Typical High
$128.82
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$204.17
United
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$154.88
Typical High
$295.12

Where Washington sits

The same service costs 5.9 times more in North Dakota than in New York. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Washington· 39th of 51

$126

ND $224NY $38.02

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.