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Utah rates for HCPCS A6257

Transparent film, sterile, 16 sq in or less, each dressing

Facilitymedian $5 · 10th–90th $3–$2,5120%20%40%10th90th$5Professionalmedian $1 · 10th–90th $1–$30%50%90th$1$0.5$2.0$10.0$50.0$200.0$1.0K

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
Facility
Modifier
Typical Low / Median / Typical High
$3.24 / $5.01 / $2,511.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $9.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.10 / $1.10 / $1.10
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.55 / $1.91 / $2.45
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.20 / $1.51 / $1.51
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.86 / $2.14 / $2.19
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $2.19 / $2.63
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $0.91 / $1.29