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Wisconsin rates for HCPCS A6251

Specialty Absorptive Dressing Wound Cover Pad Size 16 Sq. In. Or Less Without Adhesive Border Each Dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.61 / $1.61 / $4.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.61 / $2.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.78 / $2.78 / $4.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.59 / $2.78 / $3.16
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.78 / $5.95 / $5.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.21 / $8.42 / $11.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.42 / $4.22 / $5.25
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.56 / $2.25 / $2.78
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.59 / $1.59 / $2.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.56 / $2.29 / $2.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.57 / $3.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.56 / $2.29 / $2.78
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.59 / $1.59 / $2.78
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.78 / $4.17 / $7.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.42 / $5.64 / $80.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.42 / $12.20 / $13.84
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.78 / $2.78 / $2.78
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.78 / $2.78 / $2.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.18 / $1.39 / $2.58