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Arizona rates for HCPCS Q4178

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.35 / $98.35 / $98.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.41 / $90.30 / $98.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.22 / $175.34 / $433.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.37 / $92.77 / $219.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.41 / $89.41 / $89.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.41 / $89.41 / $89.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.83 / $108.57 / $216.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.11 / $93.11 / $202.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.41 / $89.41 / $89.41