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Arizona rates for HCPCS Q4152

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

Facilitymedian $85 · 10th–90th $46–$2510%10%10th90th$85Professionalmedian $51 · 10th–90th $50–$1260%50%10th90th$51$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $54.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $63.10
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $87.10 / $281.84
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $77.62 / $134.90
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$131.83 / $208.93 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $125.89 / $125.89
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $52.48 / $114.82
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $45.71 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $102.33 / $102.33
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $125.89 / $125.89