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Arizona rates for HCPCS Q4218

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.50 / $121.50 / $121.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.00 / $121.50 / $127.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.76 / $240.41 / $594.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.35 / $127.20 / $300.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.50 / $127.50 / $127.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.50 / $127.50 / $127.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.50 / $142.16 / $246.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00