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Utah rates for HCPCS A6196

Alginate Or Other Fiber Gelling Dressing Wound Cover Pad Size 16 Sq. In. Or Less Each Dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.81 / $2.81 / $2.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.81 / $6.17 / $29.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $5.25 / $5.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.75 / $8.36 / $30.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.71 / $7.20 / $7.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.41 / $4.36 / $6.25