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Utah rates for HCPCS A6241

Hydrocolloid Dressing Wound Filler Dry Form Per Gram

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $0.98 / $0.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.98 / $2.15 / $10.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.46 / $1.66 / $1.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.35 / $2.93 / $30.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.50 / $2.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.19 / $1.52 / $2.18