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Utah rates for HCPCS Q4159

Affinity1 Square Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.75 / $237.75 / $237.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.96 / $225.45 / $256.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.33 / $347.82 / $525.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.96 / $204.96 / $204.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $204.10 / $1,158.83
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.91 / $225.45 / $225.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.96 / $204.96 / $204.96