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Washington rates for HCPCS A6245

Hydrogel dressing, wound cover, sterile, pad size 16 sq in or less, with any size adhesive border, each dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.76 / $13.08 / $13.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.11 / $5.76 / $13.65
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.90 / $80.00 / $80.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.43 / $8.90 / $74.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.19 / $5.19 / $5.19
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.06 / $13.35 / $20.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.06 / $13.37 / $20.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $8.55 / $8.55
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.05 / $9.92 / $11.18
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.05 / $10.16 / $11.18
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.43 / $8.90 / $16.45
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.43 / $9.92 / $11.41
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.21 / $8.64 / $10.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.05 / $5.18 / $8.22
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $4.36 / $8.64