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Utah rates for HCPCS Q4178

Floweramniopatch Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.71 / $103.71 / $103.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.41 / $98.35 / $111.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.98 / $115.14 / $132.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.41 / $89.41 / $89.41
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
$88.52 / $98.35 / $98.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.41 / $89.41 / $89.41