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Virginia 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
$5.24 / $5.24 / $5.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.11 / $5.24 / $6.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.76 / $3.76 / $5.72
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.73 / $4.73 / $4.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.08 / $5.08 / $9.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.32 / $4.32 / $4.32
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.19 / $9.90 / $13.54
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.24 / $6.89 / $11.70
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.58 / $13.00 / $19.82
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.07 / $7.41 / $13.25
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.07 / $7.41 / $13.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $4.22 / $7.04