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Utah rates for HCPCS A6212

Foam dressing, wound cover, sterile, pad size 16 sq in or less, with any size adhesive border, each dressing

Facilitymedian $3 · 10th–90th $3–$30%50%100%$3Professionalmedian $8 · 10th–90th $3–$180%10%10th90th$8$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
$3.02 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $7.94 / $18.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $6.92 / $6.92
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $12.02 / $30.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $9.77 / $9.77
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $13.49 / $13.80
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $13.80 / $16.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $5.75 / $8.71