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Indiana 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
Facility
Modifier
Low / Median / High Price
$7.58 / $7.58 / $8.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.85 / $5.31 / $7.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.93 / $3.93 / $7.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.93 / $3.93 / $5.58
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.85 / $11.51 / $13.28
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.28 / $10.62 / $13.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.51 / $4.51 / $9.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $4.42 / $6.34