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Arizona rates for HCPCS Q4226

MyOwn Skin, includes harvesting and preparation procedures, per sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,166.40 / $1,166.40 / $1,166.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,152.00 / $1,166.40 / $1,195.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.66 / $736.31 / $1,820.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.54 / $389.58 / $920.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,224.00 / $1,224.00 / $1,224.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,224.00 / $1,224.00 / $1,224.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.49 / $1,195.20 / $2,367.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,200.00 / $1,200.00 / $2,604.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,200.00 / $1,200.00 / $1,200.00