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Kentucky rates for HCPCS A6209

Foam dressing, wound cover, sterile, pad size 16 sq in or less, without adhesive border, each dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.01 / $6.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $6.03 / $8.91
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $8.91 / $10.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $4.68 / $5.25
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $14.13 / $18.20
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $13.18 / $16.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $16.98 / $16.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.37 / $8.32 / $50.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $7.41 / $14.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $5.25 / $6.92