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Utah rates for HCPCS A4362

Skin barrier; solid, 4 x 4 or equivalent; each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.32 / $1.32 / $1.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $2.59 / $13.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.92 / $2.92 / $3.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.48 / $2.92 / $5.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.01 / $3.10 / $4.03
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.35 / $2.96 / $4.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.61 / $2.06 / $2.42