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Arizona rates for HCPCS Q4137

AmnioExcel, AmnioExcel Plus or BioDExcel, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.89 / $203.44 / $203.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.72 / $103.75 / $111.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.40 / $194.67 / $481.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.69 / $103.00 / $243.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.36 / $101.72 / $101.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.72 / $101.72 / $101.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.08 / $121.87 / $199.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.72 / $100.72 / $218.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.72 / $101.72 / $101.72