go back

Massachusetts rates for HCPCS A6213

Foam Dressing Wound Cover Pad Size More Than 16 Sq. In. But Less Than Or Equal To 48 Sq. In. With Any Size Adhesive Border Each Dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.83 / $9.83 / $9.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.21 / $9.83 / $13.81
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.18 / $30.39 / $90.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.25 / $10.75 / $115.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.95 / $24.95 / $47.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.42 / $11.42 / $16.36
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.25 / $9.25 / $9.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $9.77 / $9.77
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.64 / $90.00 / $90.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.57 / $16.75 / $115.75
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.25 / $9.25 / $9.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $9.77 / $22.98