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Pennsylvania 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
$4.34 / $5.43 / $19.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.81 / $5.43 / $7.07
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$967.00 / $57,255.43 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.85 / $8.85 / $8.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.37 / $10.37 / $10.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.51 / $4.51 / $4.51
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.28 / $11.98 / $12.83
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.34 / $6.90 / $19.20
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.08 / $5.43 / $8.36
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.60 / $11.50 / $17.39
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.37 / $10.37 / $10.37
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.51 / $4.51 / $4.51
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.69 / $6.66 / $8.42
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.69 / $8.42 / $8.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.76 / $4.44 / $7.36