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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

Facilitymedian $2 · 10th–90th $2–$20%50%100%$2Professionalmedian $6 · 10th–90th $3–$130%10%10th90th$6$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
$3.02 / $6.03 / $12.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $5.25 / $5.25
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $9.12 / $30.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $7.41 / $7.41
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $10.23 / $10.47
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $10.47 / $12.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $4.37 / $6.61