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Utah rates for HCPCS Q4148

Neox Cord 1k Neox Cord Rt Or Clarix Cord 1k Persquare Centimeter (Desc Revised 1/1/2018)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.61 / $143.61 / $143.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.80 / $136.18 / $154.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.16 / $168.41 / $193.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.80 / $123.80 / $123.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $45.00 / $270.85
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.56 / $136.18 / $136.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.80 / $123.80 / $123.80