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Alaska rates for HCPCS A6203

Composite dressing, sterile, pad size 16 sq in or less, with any size adhesive border, each dressing

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.43 / $4.87 / $4.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $2.40 / $2.40
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.85 / $4.87 / $6.82
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.86 / $14.13
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.00 / $5.00 / $3,495.87
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.66 / $5.00 / $5.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.04 / $4.87 / $6.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.49 / $4.25 / $5.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $12.75