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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
$225.44 / $225.45 / $5,751.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.96 / $207.00 / $225.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.02 / $500.91 / $1,238.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.34 / $265.02 / $626.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.96 / $204.96 / $204.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.96 / $204.96 / $204.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.28 / $275.14 / $525.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.17 / $235.17 / $510.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.96 / $204.96 / $204.96