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Utah rates for HCPCS Q4150

Allowrap Ds Or Dry Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.68 / $90.68 / $90.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.17 / $85.99 / $97.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.43 / $114.51 / $131.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.17 / $78.17 / $78.17
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
$77.39 / $85.99 / $85.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.17 / $78.17 / $78.17