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Pennsylvania rates for HCPCS A6196

Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq in or less, each dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.05 / $91.70 / $91.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $6.31 / $8.22
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$967.00 / $57,255.43 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.28 / $10.28 / $10.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.05 / $12.05 / $12.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $5.25 / $5.25
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.79 / $13.92 / $14.91
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.00 / $6.00 / $6.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.05 / $91.70 / $91.70
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.80 / $6.31 / $9.73
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.70 / $12.80 / $20.30
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.05 / $12.05 / $12.05
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $5.25 / $5.25
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.60 / $7.72 / $9.78
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.60 / $9.78 / $9.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $5.13 / $8.55