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Utah rates for HCPCS Q4166

Cytal Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.17 / $23.17 / $23.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.97 / $21.97 / $24.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.04 / $27.15 / $31.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.97 / $19.97 / $19.97
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
$19.77 / $21.97 / $21.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.97 / $19.97 / $19.97