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Utah rates for HCPCS A6262

Wound Filler Dry Form Per Gram Not Otherwise Specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.31 / $0.31 / $0.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.41 / $0.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.83 / $3.83 / $3.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.97 / $2.15 / $2.15
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.73 / $0.73 / $0.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.43 / $0.72