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Utah rates for HCPCS A6254

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

Professionalmedian $1 · 10th–90th $1–$70%50%10th90th$1$0.5$1.0$2.0$5.0$10.0$20.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $7.24
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.85 / $0.85 / $0.85
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.23 / $1.51 / $1.91
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.93 / $1.20 / $1.20
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.51 / $1.66 / $1.70
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.51 / $1.70 / $2.04
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.56 / $0.71 / $1.07