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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
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $6.03 / $12.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $5.25 / $5.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.61 / $9.12 / $30.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $7.24 / $7.24
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $10.23 / $10.47
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $10.47 / $12.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $4.27 / $6.17