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Utah rates for HCPCS Q4138

Biodfence Dryflex Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.80 / $113.80 / $113.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.11 / $107.92 / $122.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.45 / $123.58 / $142.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.11 / $98.11 / $98.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $45.00 / $232.74
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.13 / $107.92 / $107.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.11 / $98.11 / $98.11