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Idaho rates for HCPCS A6253

Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq in, without adhesive border, each dressing

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.85 / $6.49 / $12.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.51 / $4.51 / $4.51
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $7.60 / $12.61
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.41 / $8.41 / $8.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.72 / $15.49 / $17.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.20 / $6.20 / $9.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $3.76 / $6.34