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Arizona rates for HCPCS Q4148

Neox Cord 1K, Neox Cord RT, or Clarix Cord 1K, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.18 / $136.18 / $136.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.80 / $126.28 / $136.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.57 / $244.68 / $605.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.18 / $129.46 / $305.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.80 / $123.80 / $123.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.80 / $123.80 / $123.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.00 / $147.60 / $281.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.06 / $126.06 / $273.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.80 / $123.80 / $123.80