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Louisiana 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
$5.08 / $6.26 / $6.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $6.26 / $7.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.70 / $13.16 / $18.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.57 / $5.49 / $5.49
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.87 / $174.87 / $174.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.32 / $5.32 / $5.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.51 / $4.51 / $4.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $4.20 / $6.27