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Utah rates for HCPCS A6242

Hydrogel dressing, wound cover, sterile, pad size 16 sq in or less, without adhesive border, each dressing

Facilitymedian $2 · 10th–90th $2–$20%50%100%$2Professionalmedian $5 · 10th–90th $2–$110%10%20%10th90th$5$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
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $5.01 / $10.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $4.37 / $4.37
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $7.59 / $30.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $6.03 / $6.03
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $8.51 / $8.71
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $8.71 / $10.47
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.82 / $3.63 / $5.37