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Utah rates for HCPCS Q4154

Biovance, per sq cm (add-on, list separately in addition to primary procedure)

Facilitymedian $151 · 10th–90th $151$2000%50%90th$151Professionalmedian $132 · 10th–90th $126$2140%50%10th90th$132$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$138.04
Typical High
$162.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$173.78
Typical High
$316.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$60.26
Typical High
$398.11
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$141.25
Typical High
$169.82
Select Health
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$380.19
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$169.82
Typical High
$269.15
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89