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Washington rates for HCPCS A6214

Foam dressing, wound cover, sterile, pad size more than 48 sq in, with any size adhesive border, each dressing

Facilitymedian $15 · 10th–90th $11–$280%20%10th90th$15Professionalmedian $10 · 10th–90th $6–$190%10%10th90th$10$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $19.50
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $8.91 / $12.88
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $12.59 / $16.22
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $7.41 / $7.41
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $20.89 / $32.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $20.89 / $30.90
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $12.02 / $64.57
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $14.13 / $14.45
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $14.45 / $14.45
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $22.39 / $27.54
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $13.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $12.59 / $16.22
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.68 / $4.68 / $11.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $6.17 / $11.75
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $12.59 / $21.88