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Pennsylvania 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
$5.12 / $6.72 / $174.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $6.40 / $8.65
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$967.00 / $57,255.43 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.44 / $10.44 / $10.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.24 / $12.24 / $12.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.33 / $5.33 / $5.33
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $14.14 / $15.14
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.07 / $26.07 / $50.86
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.12 / $9.27 / $361.08
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $6.40 / $9.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.10 / $13.00 / $20.60
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.24 / $12.24 / $12.24
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.33 / $5.33 / $5.33
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.47 / $7.85 / $9.94
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.47 / $9.94 / $9.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.21 / $5.21 / $8.68