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Arizona rates for HCPCS Q4128

Flex Hd Or Allopatch Hd Per Square Centimeter (Desc Revised 10/01/2022)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.71 / $9,442.40 / $40,320.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.91 / $30.21 / $32.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.73 / $46.61 / $115.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.04 / $24.66 / $58.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.91 / $29.91 / $29.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.91 / $29.91 / $29.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.96 / $35.61 / $71.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.70 / $30.70 / $66.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.91 / $29.91 / $29.91