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Utah rates for HCPCS A6203

Composite Dressing Pad Size 16 Sq. In. Or Less With Any Size Adhesive Border Each Dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.28 / $1.28 / $1.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.28 / $2.67 / $13.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $2.40 / $2.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.09 / $3.83 / $30.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.61 / $3.30 / $3.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.56 / $1.99 / $2.99