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Arizona rates for HCPCS Q4217

WoundFix, BioWound, WoundFix Plus, BioWound Plus, WoundFix Xplus or BioWound Xplus, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.80 / $349.80 / $349.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.00 / $321.18 / $349.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.56 / $521.07 / $1,288.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.00 / $275.70 / $651.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.00 / $318.00 / $318.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.00 / $318.00 / $318.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.02 / $381.60 / $740.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.00 / $318.00 / $690.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.00 / $318.00 / $318.00