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Arizona rates for HCPCS Q4184

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.04 / $88.04 / $88.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.04 / $80.84 / $88.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.54 / $152.49 / $377.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.55 / $80.68 / $190.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.04 / $80.04 / $80.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.04 / $80.04 / $80.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.90 / $96.84 / $624.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.04 / $80.04 / $173.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.04 / $80.04 / $80.04