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Utah rates for HCPCS Q5004

Hospice care provided in skilled nursing facility (SNF)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.00 / $360.00 / $360.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.65 / $111.04 / $360.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $45.00 / $60.00