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Arizona rates for HCPCS Q4163

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.40 / $200.40 / $200.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.18 / $184.00 / $200.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.91 / $347.08 / $858.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.21 / $183.64 / $433.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.87 / $182.18 / $182.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.18 / $182.18 / $182.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.56 / $213.07 / $424.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.18 / $182.18 / $395.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.18 / $182.18 / $182.18