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Utah rates for HCPCS A6240

Hydrocolloid Dressing Wound Filler Paste Per Fluid Ounce

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.68 / $4.68 / $4.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $10.27 / $49.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.75 / $8.75 / $8.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.24 / $13.93 / $30.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.51 / $11.98 / $11.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.68 / $7.26 / $10.92