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Arizona rates for HCPCS Q4140

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.79 / $177.79 / $177.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.62 / $163.24 / $177.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.22 / $321.81 / $795.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.35 / $170.27 / $402.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.62 / $161.62 / $161.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.62 / $161.62 / $161.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.84 / $193.01 / $383.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.84 / $164.84 / $357.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.62 / $161.62 / $161.62