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Utah rates for HCPCS A6211

Foam dressing, wound cover, sterile, pad size more than 48 sq in, without adhesive border, each dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $10.96 / $10.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $25.70 / $54.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $20.89 / $20.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $33.11 / $60.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $29.51 / $29.51
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $40.74 / $41.69
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $41.69 / $50.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $17.38 / $25.12