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Utah rates for HCPCS Q4162

Woundex Flow Bioskin Flow 0.5 Cc (Desc Revised 1/1/2018)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,826.00 / $1,826.00 / $1,826.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,782.00 / $1,826.00 / $1,892.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,870.00 / $1,870.00 / $1,870.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,870.00 / $1,870.00 / $1,870.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $45.00 / $60.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,200.00 / $2,200.00 / $2,200.00