go back

Arizona rates for HCPCS Q4191

Restorigin, per square centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$720.83 / $720.83 / $720.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.29 / $661.85 / $720.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.14 / $1,791.10 / $4,429.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$769.98 / $947.67 / $2,238.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$618.21 / $655.29 / $655.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.29 / $655.29 / $655.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$712.12 / $883.82 / $1,700.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.43 / $730.43 / $1,585.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.29 / $655.29 / $655.29