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Wisconsin 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
Facility
Modifier
Low / Median / High Price
$2.00 / $2.00 / $7.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $3.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $4.79 / $7.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.47 / $5.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.59 / $14.79 / $23.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $7.08 / $9.12
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.63 / $3.39 / $4.90
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.27 / $9.77 / $12.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.63 / $3.63 / $9.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.34 / $23.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $7.24 / $12.59
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.55 / $9.55 / $79.43
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $7.08 / $23.44
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $4.79 / $4.79
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $4.79 / $4.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.55 / $2.34 / $3.80