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Arizona rates for HCPCS Q4159

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $223.87 / $4,677.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $204.17 / $288.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $371.54 / $912.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $380.19 / $616.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $204.17 / $204.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $204.17 / $204.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $275.42 / $1,071.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $234.42 / $512.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $436.52 / $1,258.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $263.03 / $1,047.13