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Utah rates for HCPCS A6245

Hydrogel dressing, wound cover, sterile, pad size 16 sq in or less, with any size adhesive border, each dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.78 / $2.78 / $2.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.78 / $6.10 / $29.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.19 / $5.19 / $5.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.67 / $8.27 / $30.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $7.11 / $7.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.37 / $4.30 / $6.18