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Utah rates for HCPCS A6253

Specialty Absorptive Dressing Wound Cover Pad Size More Than 48 Sq. In. Without Adhesive Border Each Dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.43 / $2.43 / $2.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.43 / $5.31 / $25.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.51 / $4.51 / $4.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.81 / $7.21 / $30.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.92 / $6.20 / $6.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.94 / $3.76 / $4.51