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Washington 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
$4.79 / $10.87 / $11.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.60 / $4.79 / $11.35
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.41 / $80.00 / $80.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.02 / $7.41 / $61.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.32 / $4.32 / $4.32
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.79 / $11.24 / $16.67
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.79 / $11.24 / $16.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.84 / $7.13 / $7.13
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.73 / $8.26 / $9.31
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.40 / $8.46 / $9.31
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.02 / $7.41 / $13.70
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.02 / $8.26 / $9.50
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $7.19 / $8.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.42 / $5.16 / $6.84
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.76 / $3.76 / $7.19