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Arizona rates for HCPCS Q4257

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $912.01 / $1,000.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $707.95 / $1,737.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $724.44 / $1,148.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $912.01 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $912.01 / $912.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $794.33 / $1,548.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $645.65 / $794.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $1,659.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $489.78 / $1,659.59