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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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $5.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.68 / $0.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.98 / $1.20 / $1.51
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.74 / $0.95 / $0.95
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $1.32 / $1.38
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.35 / $1.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.44 / $0.56 / $0.81