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Utah rates for HCPCS A6456

Zinc paste impregnated bandage, nonelastic, knitted/woven, width greater than or equal to 3 in and less than 5 in, per yd

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.49 / $0.49 / $0.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.49 / $1.05 / $5.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.90 / $0.90 / $0.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $1.45 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $1.23 / $1.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.57 / $0.75 / $1.09