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Utah rates for HCPCS A6231

Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 16 sq in or less, each dressing

Facilitymedian $1 · 10th–90th $1–$10%50%100%$1Professionalmedian $4 · 10th–90th $1–$80%10%20%10th90th$4$1.0$2.0$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $3.98 / $7.94
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $3.39 / $3.39
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $5.37 / $30.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $4.68 / $4.68
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $6.61 / $6.61
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $6.61 / $7.94
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.19 / $2.75 / $3.98