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Arizona rates for HCPCS Q4227

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,288.25 / $1,288.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,288.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,698.24 / $4,168.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,737.80 / $2,818.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,174.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $1,288.25 / $2,630.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,380.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,949.84 / $1,949.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $1,122.02 / $1,202.26