go back

Utah rates for HCPCS Q4114

Integra flowable wound matrix, injectable, 1 cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,733.52 / $1,733.52 / $1,733.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.41 / $1,643.85 / $1,868.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,741.05 / $2,114.00 / $2,431.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.41 / $1,494.41 / $1,494.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $1,994.56 / $2,180.14
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.47 / $1,643.85 / $1,643.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.41 / $1,494.41 / $1,494.41