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Massachusetts 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
$3.70 / $3.70 / $3.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.69 / $4.13 / $5.45
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.05 / $12.55 / $80.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $8.26 / $42.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.79 / $5.79 / $17.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.36 / $5.55 / $5.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.32 / $4.32 / $5.17
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.70 / $5.70 / $5.70
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.91 / $6.91 / $6.91
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.17 / $80.00 / $80.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $4.86 / $42.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $4.83 / $9.53