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Utah rates for HCPCS A6199

Alginate or other fiber gelling dressing, wound filler, sterile, per 6 in

Facilitymedian $2 · 10th–90th $2$20%50%100%$2Professionalmedian $4 · 10th–90th $2$100%10%20%10th90th$4$2.0$5.0$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
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.98 / $10.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $3.80 / $3.80
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $6.61 / $30.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $5.25 / $5.25
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $7.41 / $7.59
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $7.59 / $9.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $3.16 / $4.47