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Utah rates for HCPCS A6154

Wound Pouch Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $5.50 / $5.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $12.04 / $57.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.26 / $10.26 / $10.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.32 / $17.85 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.16 / $14.05 / $14.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.67 / $8.52 / $12.84