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Arizona rates for HCPCS Q4160

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,062.82 / $5,568.76 / $5,568.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,784.38 / $2,812.22 / $3,062.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.70 / $176.51 / $436.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.88 / $93.39 / $220.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,626.77 / $2,784.38 / $2,784.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,784.38 / $2,784.38 / $2,784.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.42 / $583.00 / $2,784.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.31 / $530.00 / $530.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,784.38 / $2,784.38 / $2,784.38