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Utah rates for HCPCS A6209

Foam dressing, wound cover, sterile, pad size 16 sq in or less, without adhesive border, each dressing

Facilitymedian $2 · 10th–90th $2–$20%50%100%$2Professionalmedian $7 · 10th–90th $3–$140%10%20%10th90th$7$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 / $14.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $5.37 / $5.37
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $9.33 / $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
$9.33 / $10.47 / $10.72
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $10.72 / $12.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $4.47 / $6.61