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Washington 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
$5.92 / $13.44 / $57.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.06 / $5.92 / $14.03
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.14 / $80.00 / $80.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.67 / $9.14 / $76.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.33 / $5.33 / $5.33
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.48 / $14.06 / $20.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.48 / $14.08 / $20.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.20 / $8.80 / $8.80
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.28 / $10.19 / $11.48
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.28 / $10.44 / $11.48
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.67 / $9.14 / $16.91
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.67 / $10.19 / $11.73
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.43 / $8.86 / $10.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.21 / $5.32 / $8.44
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.63 / $4.63 / $8.86