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Utah rates for HCPCS Q4143

Repriza Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.35 / $39.35 / $39.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.92 / $37.31 / $42.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.92 / $43.40 / $80.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.92 / $33.92 / $33.92
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
$33.58 / $37.31 / $37.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.92 / $33.92 / $33.92