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Utah rates for HCPCS A6460

Synthetic resorbable wound dressing, sterile, pad size 16 sq in or less, without adhesive border, each dressing

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $50.12 / $57.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $30.20 / $44.67
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $5.25 / $5.25