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Wisconsin rates for HCPCS A6253

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

Facilitymedian $9 · 10th–90th $9–$150%20%40%10th90th$9Professionalmedian $6 · 10th–90th $4–$130%20%10th90th$6$1.0$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $14.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $5.01 / $7.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $9.12 / $14.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $8.32 / $9.55
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $27.54 / $43.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $12.59 / $16.98
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.13 / $7.41 / $12.88
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $11.75 / $14.79
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.13 / $8.91 / $19.95
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $4.47 / $48.98
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.83 / $33.11 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $14.13
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $10.23 / $17.78
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $13.49 / $23.44
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $17.78 / $79.43
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $10.96 / $50.12
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $9.12 / $9.12
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $9.12 / $9.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $4.47 / $7.24