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West Virginia rates for HCPCS A6253

Specialty Absorptive Dressing Wound Cover Pad Size More Than 48 Sq. In. Without Adhesive Border Each Dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.88 / $4.88 / $4.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.88 / $5.47 / $5.98
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.74 / $13.28 / $15.49
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $10.62 / $20.52
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 / $43.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.33 / $5.00 / $8.85