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Utah rates for HCPCS Q4160

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,229.88 / $3,229.88 / $3,229.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.38 / $2,840.07 / $3,480.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.88 / $132.25 / $220.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,784.38 / $2,784.38 / $2,784.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.95 / $72.79 / $269.64
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.02 / $2,756.54 / $3,062.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,784.38 / $2,784.38 / $2,784.38