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Utah rates for HCPCS Q4127

Talymed, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.44 / $79.44 / $79.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.48 / $75.34 / $85.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.79 / $90.45 / $104.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.48 / $68.48 / $68.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $45.00 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.81 / $75.34 / $75.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.48 / $68.48 / $68.48