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Arizona rates for HCPCS Q4152

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.79 / $55.79 / $55.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.72 / $51.22 / $55.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.05 / $104.06 / $257.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.73 / $55.06 / $130.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.71 / $50.71 / $50.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.71 / $50.71 / $50.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.15 / $54.95 / $105.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.41 / $45.41 / $98.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.72 / $50.72 / $50.72