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Utah rates for HCPCS A6219

Gauze Non-Impregnated Pad Size 16 Sq. In. Or Less With Any Size Adhesive Border Each Dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.36 / $0.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.75 / $3.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.68 / $0.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $1.10 / $1.30
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.74 / $0.93 / $0.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.44 / $0.56 / $0.76