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Utah rates for HCPCS A6209

Foam Dressing Wound Cover Pad Size 16 Sq. In. Or Less Without Adhesive Border Each Dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.86 / $2.86 / $2.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.86 / $6.26 / $30.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.33 / $5.33 / $5.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.85 / $8.50 / $30.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.80 / $7.31 / $7.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $4.43 / $6.36