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Utah rates for HCPCS A6233

Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size more than 48 sq in, each dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.34 / $7.34 / $7.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.34 / $16.07 / $77.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.93 / $12.04 / $12.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.74 / $21.80 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.90 / $18.75 / $18.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.90 / $11.36 / $16.30