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Utah rates for HCPCS A6219

Gauze, nonimpregnated, sterile, pad size 16 sq in or less, with any size adhesive border, each dressing

Professionalmedian $1 · 10th–90th $1$60%20%40%10th90th$1$0.5$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $5.75
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.68 / $0.68 / $0.68
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.98 / $1.20 / $1.51
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.74 / $0.95 / $0.95
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.32 / $1.32 / $1.38
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.23 / $1.35 / $1.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.44 / $0.56 / $0.85