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Utah rates for HCPCS Q4110

Primatrix Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.87 / $75.87 / $75.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.41 / $75.87 / $161.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.40 / $86.38 / $99.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.40 / $65.40 / $65.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.16 / $51.55 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.98 / $66.53 / $71.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.41 / $65.41 / $65.41