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Utah rates for HCPCS Q4130

Strattice Tm Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.20 / $101.20 / $101.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.66 / $11.15 / $101.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $45.00 / $60.00