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Utah rates for HCPCS Q4155

Neoxflo Or Clarixflo 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.88 / $30.88 / $30.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.88 / $30.88 / $30.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.65 / $37.94 / $43.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.62 / $26.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.29 / $26.62 / $26.62