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Utah rates for HCPCS A6259

Transparent film, sterile, more than 48 sq in, each dressing

Facilitymedian $4 · 10th–90th $4$40%50%100%$4Professionalmedian $10 · 10th–90th $4$200%10%10th90th$10$5.0$10.0$20.0$50.0

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $8.91 / $19.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $7.76 / $7.76
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $13.49 / $30.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $10.96 / $10.96
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $15.14 / $15.49
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $15.49 / $18.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $6.46 / $9.77