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Wyoming 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
Professional
Modifier
Low / Median / High Price
$4.79 / $6.15 / $7.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.26 / $8.26 / $8.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.26 / $8.26 / $8.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.32 / $4.32 / $6.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.59 / $3.59