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Arizona rates for HCPCS Q4251

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.80 / $145.80 / $145.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.00 / $145.80 / $153.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.11 / $288.49 / $713.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.02 / $152.63 / $360.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.00 / $153.00 / $153.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.00 / $153.00 / $153.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.80 / $170.59 / $295.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.00 / $180.00 / $390.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.00 / $180.00 / $180.00