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Arizona rates for HCPCS Q4134

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.28 / $324.16 / $324.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.66 / $131.28 / $137.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.47 / $327.16 / $809.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.63 / $173.10 / $408.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.08 / $162.08 / $162.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.08 / $162.08 / $162.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.28 / $144.41 / $266.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.08 / $162.08 / $162.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.08 / $162.08 / $162.08