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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

Facilitymedian $9 · 10th–90th $7–$170%20%10th90th$9Professionalmedian $6 · 10th–90th $3–$110%10%20%10th90th$6$2.0$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $11.22
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $5.01 / $9.33
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $7.41 / $9.55
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $4.37 / $4.37
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $12.30 / $19.05
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $12.30 / $18.62
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $7.08 / $64.57
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $8.32 / $8.51
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $8.51 / $8.51
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $13.18 / $16.22
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $8.13
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $7.41 / $9.55
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.75 / $5.50 / $6.76
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $3.63 / $6.92
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $7.41 / $12.88