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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
$1,584.89 / $1,584.89 / $1,584.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $1,584.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $2,089.30 / $5,128.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $2,137.96 / $3,388.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $1,412.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $1,621.81 / $3,090.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,380.38 / $1,659.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $2,290.87 / $2,290.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $1,380.38 / $1,445.44