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Utah rates for HCPCS Q4169

Artacent Wound Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,399.42 / $2,399.42 / $2,399.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,068.46 / $2,275.32 / $2,585.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.44 / $257.44 / $2,068.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,068.46 / $2,068.46 / $2,068.46
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
$2,047.79 / $2,275.32 / $2,275.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,068.46 / $2,068.46 / $2,068.46