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Utah rates for HCPCS A6214

Foam dressing, wound cover, sterile, pad size more than 48 sq in, with any size adhesive border, each dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.94 / $3.94 / $3.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.94 / $8.63 / $41.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.34 / $7.34 / $7.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.45 / $11.71 / $30.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.99 / $10.07 / $10.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $6.10 / $10.17