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Wisconsin rates for HCPCS A6211

Foam Dressing Wound Cover Pad Size More Than 48 Sq. In. Without Adhesive Border Each Dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.83 / $23.83 / $68.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.93 / $23.83 / $35.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.04 / $41.04 / $67.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.17 / $41.04 / $46.78
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.04 / $87.83 / $87.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.94 / $128.47 / $170.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.95 / $59.53 / $77.68
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.05 / $33.36 / $41.04
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.50 / $23.50 / $41.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.25 / $33.82 / $42.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.07 / $23.20 / $52.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.25 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.05 / $33.82 / $41.04
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.50 / $23.50 / $41.04
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.04 / $61.56 / $104.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.16 / $83.31 / $193.10
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.95 / $180.36 / $204.38
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.04 / $41.04 / $41.04
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.04 / $41.04 / $41.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.25 / $20.47 / $38.01