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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $1.00 / $4.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $0.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $1.37 / $1.64
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $1.17 / $1.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.54 / $0.71 / $1.03