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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
$5.01 / $28.84 / $38.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.98 / $7.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.13 / $16.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.09 / $6.76 / $8.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $8.13 / $8.13
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.89 / $17.38 / $27.54
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $5.01 / $5.25
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $5.89 / $18.62
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.57 / $5.13 / $8.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.95 / $2.95 / $3.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $3.63 / $5.89