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Idaho rates for HCPCS A6242

Hydrogel dressing, wound cover, sterile, pad size 16 sq in or less, without adhesive border, each dressing

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.69 / $6.20 / $11.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.32 / $4.32 / $4.32
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $7.26 / $12.06
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.03 / $8.03 / $8.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.11 / $14.81 / $16.50
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.92 / $5.92 / $8.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.32 / $3.59 / $6.07