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Utah rates for HCPCS A6231

Gauze Impregnated Hydrogel For Direct Wound Contact Pad Size 16 Sq. In. Or Less Each Dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.79 / $1.79 / $1.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.79 / $3.93 / $18.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $3.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.36 / $5.34 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.64 / $4.59 / $4.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.18 / $2.78 / $3.34