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Utah rates for HCPCS Q4225

Amniobind, per square centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,655.84 / $1,655.84 / $1,655.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.45 / $1,570.20 / $1,784.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,616.08 / $1,927.70 / $2,216.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.45 / $1,427.45 / $1,427.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,413.18 / $1,570.20 / $1,570.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.45 / $1,427.45 / $1,427.45