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Utah rates for HCPCS Q4116

Alloderm Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.82 / $39,914.79 / $89,459.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.20 / $25.82 / $26.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.11 / $31.11 / $31.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.11 / $31.11 / $31.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.40 / $45.25 / $60.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.11 / $31.11 / $31.11