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Alaska rates for HCPCS A6207

Contact layer, sterile, more than 16 sq in but less than or equal to 48 sq in, each dressing

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.85 / $9.85 / $9.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.24 / $5.24 / $5.24
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.07 / $9.85 / $13.79
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.75 / $9.83 / $30.78
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.11 / $10.11 / $3,495.87
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.39 / $10.11 / $10.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.14 / $9.85 / $13.79
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.25 / $8.60 / $12.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $6.07 / $25.80