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Arizona rates for HCPCS Q4147

Architect Architect Px Or Architect Fx Extracellular Matrix Per Square Centimeter (Revised 11/12/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.28 / $46.28 / $46.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.70 / $46.28 / $48.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.72 / $280.48 / $693.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.58 / $148.40 / $350.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.56 / $48.56 / $48.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.56 / $48.56 / $48.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.28 / $55.54 / $147.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.62 / $1,576.28 / $1,576.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.13 / $57.13 / $57.13