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Utah rates for HCPCS G0281

Electrical Stimulation (Unattended) To One Or More Areas For Chronic Stage Iii And Stage Iv Pressure Ulcers Arterial Ulcers Diabetic Ulcers And Venous Statsis Ulcers Not Demonstrating Measurable Signs Of Healing After 30 Days Of Conventional Care As Part Of A Therapy Plan Of Care

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.04 / $11.38 / $16.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.42 / $10.42 / $10.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.86 / $14.06 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.06 / $13.40 / $20.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.55 / $13.65 / $19.48