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Utah rates for HCPCS Q4152

Dermapure Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.83 / $58.83 / $58.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.72 / $55.79 / $63.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.88 / $68.73 / $79.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.71 / $50.71 / $50.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $45.00 / $118.21
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.21 / $55.79 / $55.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.72 / $50.72 / $50.72