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Utah rates for HCPCS Q4154

Biovance 1 Square Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.00 / $153.00 / $153.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.90 / $153.00 / $404.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.72 / $190.67 / $219.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.90 / $131.90 / $131.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $60.00 / $394.67
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.58 / $145.09 / $167.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.90 / $131.90 / $131.90