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Arizona rates for HCPCS Q4143

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.31 / $37.31 / $37.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.92 / $34.26 / $37.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.35 / $64.62 / $159.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.78 / $34.19 / $80.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.92 / $33.92 / $33.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.92 / $33.92 / $33.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $39.35 / $75.73
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.92 / $33.92 / $36.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.92 / $33.92 / $33.92