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Utah rates for HCPCS Q0112

All potassium hydroxide (KOH) preparations

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.41 / $11.26 / $37.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.85 / $4.66 / $7.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.98 / $5.13 / $16.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.06 / $6.75 / $8.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.16 / $8.16 / $8.16
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.83 / $6.70 / $23.61
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.46 / $4.69 / $4.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.61 / $5.83