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Utah rates for HCPCS Q4171

Interfyl, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.71 / $11.71 / $11.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.09 / $11.10 / $12.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.94 / $15.74 / $18.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.09 / $10.09 / $10.09
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
$9.99 / $11.10 / $11.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.09 / $10.09 / $10.09