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Arizona rates for HCPCS Q4175

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.69 / $100.69 / $100.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.54 / $92.45 / $100.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.29 / $130.62 / $323.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.15 / $69.11 / $163.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.36 / $91.54 / $91.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.54 / $91.54 / $91.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.91 / $81.94 / $161.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.72 / $67.72 / $146.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.54 / $91.54 / $91.54