go back

Arizona rates for HCPCS Q4153

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.72 / $151.72 / $151.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.93 / $139.31 / $151.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.28 / $244.00 / $603.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.90 / $129.10 / $305.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.93 / $137.93 / $137.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.93 / $137.93 / $137.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.97 / $131.41 / $259.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.60 / $108.60 / $235.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.93 / $137.93 / $137.93