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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.31 / $2.31 / $2.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $5.08 / $24.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.32 / $4.32 / $4.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.56 / $6.90 / $30.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.71 / $5.92 / $5.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.81 / $3.59 / $5.98