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Utah rates for HCPCS Q4163

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.33 / $211.33 / $211.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.18 / $200.40 / $227.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.26 / $240.62 / $276.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.18 / $182.18 / $182.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $60.00 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.36 / $200.40 / $200.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.18 / $182.18 / $182.18