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Pennsylvania 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
$4.15 / $4.15 / $6.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.69 / $5.19 / $6.76
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$967.00 / $57,255.43 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.46 / $8.46 / $8.46
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
Professional
Modifier
Low / Median / High Price
$8.88 / $11.45 / $12.27
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.15 / $5.70 / $88.11
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.79 / $5.19 / $8.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.20 / $12.10 / $16.70
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.91 / $9.91 / $9.91
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.32 / $4.32 / $4.32
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.05 / $6.37 / $8.05
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $8.05 / $8.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $4.25 / $7.04