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Wisconsin rates for HCPCS A6244

Hydrogel Dressing Wound Cover Pad Size More Than 48 Sq. In. Without Adhesive Border Each Dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.87 / $31.87 / $91.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.98 / $31.87 / $47.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.89 / $54.89 / $90.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.05 / $54.89 / $62.57
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.89 / $117.46 / $117.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.78 / $172.70 / $229.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.02 / $79.69 / $103.88
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.82 / $44.62 / $54.89
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.42 / $31.42 / $54.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.10 / $45.23 / $57.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.52 / $31.03 / $69.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.86 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.82 / $45.23 / $54.89
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.42 / $31.42 / $54.89
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.89 / $82.34 / $139.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.20 / $111.43 / $258.29
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.02 / $241.20 / $273.35
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.89 / $54.89 / $54.89
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.89 / $54.89 / $54.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.27 / $27.38 / $50.83