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Arizona rates for HCPCS Q4229

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.49 / $507.49 / $507.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.36 / $465.97 / $507.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$404.45 / $955.51 / $2,362.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.77 / $505.56 / $1,194.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$435.24 / $461.36 / $461.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.36 / $461.36 / $461.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$322.00 / $399.67 / $904.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.31 / $330.31 / $716.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.36 / $461.36 / $461.36