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Arizona rates for HCPCS Q4139

AmnioMatrix or BioDMatrix, injectable, 1 cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$987.52 / $987.52 / $987.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.00 / $987.52 / $1,820.00
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.00 / $1,086.27 / $2,074.80