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Washington rates for HCPCS A6241

Hydrocolloid dressing, wound filler, dry form, sterile, per g

Facilitymedian $4 · 10th–90th $3–$70%20%10th90th$4Professionalmedian $2 · 10th–90th $1–$50%20%10th90th$2$1.0$2.0$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
$2.00 / $2.00 / $4.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $3.02
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $3.09 / $4.07
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.48 / $1.66 / $1.66
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.47 / $5.37 / $7.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $5.37 / $7.94
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $3.02 / $64.57
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.82 / $3.55 / $3.63
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.16 / $3.63 / $3.63
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.95 / $5.62 / $6.92
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $2.95 / $3.47
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $3.09 / $4.07
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.17 / $2.34 / $2.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.38 / $1.51 / $2.88
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $3.09 / $5.50