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Utah rates for HCPCS A6261

Wound Filler Gel/Paste Per Fluid Ounce Not Otherwise Specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.63 / $3.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.00 / $34.00 / $34.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.82 / $8.55 / $45.68
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.10 / $33.10 / $33.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $1.73 / $2.89