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Utah rates for HCPCS A6203

Composite dressing, sterile, pad size 16 sq in or less, with any size adhesive border, each dressing

Facilitymedian $1 · 10th–90th $1–$10%50%100%$1Professionalmedian $3 · 10th–90th $1–$60%10%10th90th$3$1.0$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
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $3.02 / $6.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.40 / $2.40 / $2.40
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $4.17 / $30.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $3.39 / $3.39
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $4.68 / $4.79
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $4.79 / $5.75
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.55 / $2.00 / $2.82