go back

Utah rates for HCPCS A2007

Restrata, per sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.86 / $200.86 / $200.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.02 / $200.86 / $208.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.70 / $205.70 / $205.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.70 / $205.70 / $205.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $45.00 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.37 / $95.37 / $96.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.00 / $220.00 / $220.00