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Arizona rates for HCPCS Q4128

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

Facilitymedian $102 · 10th–90th $30–$34,6740%10%10th90th$102Professionalmedian $30 · 10th–90th $29–$1260%50%10th90th$30$20.0$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $7,413.10 / $40,738.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $30.20 / $40.74
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $38.90 / $125.89
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $34.67 / $60.26
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$131.83 / $208.93 / $239.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $125.89 / $125.89
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $34.67 / $72.44
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $30.90 / $32.36
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $102.33 / $102.33
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $125.89 / $125.89