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Utah rates for HCPCS G0168

Wound closure utilizing tissue adhesive(s) only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $3,388.44 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $75.86 / $436.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $134.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $239.88
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $42.66 / $151.36
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $100.00 / $173.78
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $128.82 / $173.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $4,466.84 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $74.13 / $134.90