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New York rates for HCPCS A6242

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

Facilitymedian $5 · 10th–90th $3–$130%20%10th90th$5Professionalmedian $5 · 10th–90th $4–$120%10%20%10th90th$5$0.1$1.0$10.0$100.0$1.0K$10.0K

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
$3.02 / $6.76 / $9.55
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $5.01 / $7.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $3.80 / $12.02
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.61 / $7.08 / $7.08
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $7.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $13.49 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $4.37 / $8.51
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $14.13 / $33.11
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $12.30 / $16.98
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.09 / $3.09 / $3.24
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $4.90 / $5.25
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.61 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $8.32 / $8.32
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $32.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $7.59 / $15.49
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.09 / $4.90 / $4.90
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $4.90 / $5.25