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Arizona rates for HCPCS Q4169

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $2,290.87 / $2,290.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,089.30 / $2,290.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $251.19 / $616.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $257.04 / $407.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $2,089.30 / $2,089.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,089.30 / $2,089.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $2,570.40 / $5,011.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $2,238.72 / $3,467.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $5,623.41 / $5,623.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $2,754.23 / $2,754.23