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Utah rates for HCPCS A6257

Transparent Film 16 Sq. In. Or Less Each Dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.59 / $0.59 / $2,539.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.59 / $1.28 / $6.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.10 / $1.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.56 / $1.75 / $2.10
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.50 / $1.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.91 / $1.37