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Wisconsin rates for HCPCS A6241

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

Facilitymedian $4 · 10th–90th $4$60%20%40%90th$4Professionalmedian $2 · 10th–90th $1$50%20%10th90th$2$1.0$5.0$20.0$100.0$500.0$2.0K

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 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $3.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $6.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $3.39 / $3.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $11.48 / $18.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.48 / $4.17 / $6.92
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.04 / $3.02 / $5.25
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $4.17 / $5.13
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.09 / $3.63 / $8.13
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.51 / $1.78 / $17.78
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.51 / $33.11 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $5.75 / $5.75
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $4.17 / $7.24
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $5.50 / $9.55
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.24 / $7.24 / $79.43
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.45 / $1.66 / $17.78
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $3.63
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $3.63
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.20 / $1.78 / $2.95