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Utah rates for HCPCS Q4187

Epicord Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$284.55 / $284.55 / $889.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.30 / $272.52 / $306.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.95 / $320.58 / $368.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.30 / $245.30 / $245.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $188.11 / $240.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.85 / $269.83 / $269.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.30 / $245.30 / $245.30