go back

Arizona rates for HCPCS Q4222

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.04 / $160.04 / $160.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.49 / $146.94 / $160.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.61 / $258.95 / $640.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.32 / $137.01 / $323.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.49 / $145.49 / $145.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.49 / $145.49 / $145.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.26 / $149.11 / $285.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.55 / $127.55 / $276.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.49 / $145.49 / $145.49