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Utah rates for HCPCS Q4236

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$521.30 / $521.30 / $521.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.41 / $494.35 / $561.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.41 / $810.42 / $1,148.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.41 / $449.41 / $449.41
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
$444.92 / $494.35 / $494.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.41 / $449.41 / $449.41