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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
$5.01 / $7.94 / $114.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $6.03 / $10.23
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $6.17 / $7.24
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $10.23 / $10.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.17 / $6.17 / $16.60
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
$10.96 / $15.14 / $22.91
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.47 / $10.47 / $10.47
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.13 / $5.89 / $10.47
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $6.03 / $13.18
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $7.94 / $114.82
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $6.03 / $11.22
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $7.08 / $16.60
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $13.80 / $20.42
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.61 / $7.41 / $14.79
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $8.13 / $11.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $5.13 / $8.51