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Utah rates for HCPCS A6230

Gauze, impregnated, water or normal saline, sterile, pad size more than 48 sq in, without adhesive border, each dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.92 / $0.92 / $0.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.92 / $1.22 / $2.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.38 / $1.38 / $1.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.10 / $6.67 / $6.67
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.18 / $2.18 / $2.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $1.30 / $2.17