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Utah rates for HCPCS Q4193

Coll-e-Derm, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $1,621.81 / $1,621.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,412.54 / $1,737.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $2,290.87 / $3,801.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,380.38 / $1,380.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $44.67 / $60.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $144.54 / $162.18
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $120.23 / $125.89
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $1,380.38 / $1,659.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $134.90 / $1,949.84