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Utah rates for HCPCS A6218

Gauze, nonimpregnated, nonsterile, pad size more than 48 sq in, without adhesive border, each dressing

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.56 / $0.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.36 / $0.36
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.37 / $0.45
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.31 / $0.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.22 / $0.33