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Ohio 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
$5.37 / $5.37 / $10.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.94 / $5.37 / $6.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.76 / $4.88 / $11.16
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.46 / $10.15 / $12.57
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.31 / $11.00 / $18.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.32 / $4.32 / $4.32
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.91 / $9.91 / $9.91
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.32 / $4.32 / $4.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.80 / $6.00 / $6.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $4.09 / $5.37