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Utah rates for HCPCS A6021

Collagen dressing, sterile, size 16 sq in or less, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $7.94 / $7.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $19.05 / $38.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $15.14 / $15.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $23.99 / $30.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $20.89 / $20.89
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $29.51 / $30.20
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $30.20 / $36.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $12.59 / $17.78