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Utah rates for HCPCS A6212

Foam Dressing Wound Cover Pad Size 16 Sq. In. Or Less With Any Size Adhesive Border Each Dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.71 / $3.71 / $3.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.71 / $8.14 / $39.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.93 / $6.93 / $6.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $11.05 / $30.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.54 / $9.50 / $9.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.50 / $5.75 / $8.25