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Utah rates for HCPCS A6261

Wound filler, gel/paste, per fl oz, not otherwise specified

Facilitymedian $1 · 10th–90th $1–$10%50%100%$1Professionalmedian $2 · 10th–90th $1–$30%20%40%10th90th$2$1.0$2.0$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
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $2.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $33.88 / $33.88
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $35.48 / $54.95
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.88 / $33.11 / $33.11
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $8.71 / $8.71
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $2.51 / $2.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.07 / $1.74 / $2.63