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Louisiana 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
Facility
Modifier
Low / Median / High Price
$4.86 / $5.98 / $5.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.82 / $5.98 / $6.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.37 / $12.59 / $17.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $5.25 / $5.25
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.08 / $5.08 / $5.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.32 / $4.32 / $4.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.39 / $4.01 / $6.00