go back

Arizona rates for HCPCS Q4225

AmnioBind or DermaBind TL, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,570.20 / $1,570.20 / $1,570.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.45 / $1,441.72 / $1,570.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,180.42 / $2,788.73 / $6,896.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,198.85 / $1,475.52 / $3,485.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,427.45 / $1,427.45 / $1,427.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.45 / $1,427.45 / $1,427.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,336.57 / $1,605.51 / $3,060.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,370.73 / $1,370.73 / $2,974.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,288.69 / $2,288.69 / $2,288.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.45 / $1,427.45 / $1,427.45