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Utah rates for HCPCS Q4256

Mlg complet, per sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$852.65 / $852.65 / $852.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.05 / $808.55 / $918.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.39 / $1,284.88 / $1,477.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.05 / $735.05 / $735.05
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
$727.70 / $808.55 / $808.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.05 / $735.05 / $735.05