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Utah rates for HCPCS Q4168

AmnioBand, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.15 / $14.15 / $14.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.81 / $14.15 / $14.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.05 / $17.05 / $17.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.05 / $17.05 / $17.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $45.00 / $60.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.05 / $17.05 / $17.05