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Arizona rates for HCPCS Q4161

bio-ConneKt wound matrix, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,749.59 / $1,749.59 / $1,749.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,590.54 / $1,606.45 / $1,749.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,494.78 / $3,531.43 / $8,733.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,518.14 / $1,868.48 / $4,414.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,500.51 / $1,590.54 / $1,590.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,590.54 / $1,590.54 / $1,590.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,590.54 / $1,918.43 / $3,692.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,653.82 / $1,653.82 / $3,588.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,590.54 / $1,590.54 / $1,853.66