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Utah rates for HCPCS Q4161

Bio-Connekt Wound Matrix Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,845.03 / $1,845.03 / $1,845.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,590.54 / $1,749.59 / $1,988.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.23 / $2,159.67 / $4,410.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,590.54 / $1,590.54 / $1,590.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $45.00 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,574.63 / $1,749.59 / $1,749.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,590.54 / $1,590.54 / $1,590.54