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Utah rates for HCPCS A6215

Foam dressing, wound filler, sterile, per g

Facilitymedian $4 · 10th–90th $4–$40%50%100%$4Professionalmedian $4 · 10th–90th $2–$40%50%10th$4$1.0$2.0$5.0$10.0$20.0

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
$3.98 / $3.98 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $3.98 / $3.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $2.95 / $2.95
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.40 / $3.09 / $30.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.40 / $2.40 / $2.40