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Arizona rates for HCPCS Q4156

Neox 100 or Clarix 100, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.47 / $72.47 / $72.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $66.54 / $72.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.22 / $123.36 / $305.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.03 / $65.27 / $154.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.88 / $65.88 / $65.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $65.88 / $65.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.65 / $77.58 / $154.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.34 / $66.34 / $143.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $65.88 / $65.88