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Arizona rates for HCPCS Q4234

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$609.33 / $609.33 / $609.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.94 / $559.47 / $609.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.92 / $472.31 / $1,168.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.05 / $249.90 / $590.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$522.58 / $553.94 / $553.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.94 / $553.94 / $553.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.86 / $235.74 / $1,062.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.83 / $194.83 / $422.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.92 / $553.94 / $553.94