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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.69 / $5.19 / $8.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.69 / $5.19 / $8.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.76 / $3.76 / $13.59
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.56 / $7.05 / $7.05
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.05 / $7.05 / $7.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.91 / $9.91 / $9.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.32 / $4.32 / $4.32
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.46 / $15.48 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.46 / $11.42 / $18.36
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.09 / $3.09 / $4.91
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.09 / $4.91 / $5.21
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.91 / $9.91 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.32 / $4.32 / $14.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $4.37 / $9.22
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.91 / $4.91 / $6.07
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.09 / $4.91 / $5.21