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Utah rates for HCPCS A2014

Omeza collagen matrix, per 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.61 / $127.61 / $127.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.54 / $127.61 / $132.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.69 / $130.69 / $130.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.69 / $130.69 / $130.69
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
$56.89 / $66.93 / $69.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.13 / $128.13 / $128.13