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Utah rates for HCPCS Q4235

Amniorepair or altiply, per square centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.05 / $102.05 / $102.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.98 / $96.77 / $109.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.59 / $125.66 / $215.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.98 / $87.98 / $87.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.09 / $96.77 / $96.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.98 / $87.98 / $87.98