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Utah rates for HCPCS A6154

Wound pouch, each

Facilitymedian $5 · 10th–90th $5–$50%50%100%$5Professionalmedian $12 · 10th–90th $5–$270%10%10th90th$12$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $12.02 / $26.92
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $10.23 / $10.23
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $17.78 / $60.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $14.45 / $14.45
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $19.95 / $20.42
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $20.42 / $24.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $8.51 / $12.88