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Utah rates for HCPCS A6207

Contact layer, sterile, more than 16 sq in but less than or equal to 48 sq in, 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 / $6.16 / $29.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.24 / $5.24 / $5.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.74 / $8.34 / $30.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.70 / $7.18 / $7.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.41 / $4.34 / $6.24