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Arizona rates for HCPCS Q4210

Axolotl Graft or Axolotl DualGraft, per sq cm

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$683.82 / $1,615.53 / $3,995.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.64 / $872.64 / $1,097.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.00 / $2,400.00 / $2,400.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,160.00 / $3,160.00 / $3,160.00