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Arizona rates for HCPCS A6254

Specialty absorptive dressing, wound cover, sterile, pad size 16 sq in or less, with any size adhesive border, each dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.52 / $1.00 / $1.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.44 / $1.04 / $2.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.47 / $3.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $0.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.67 / $3.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.71 / $17.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.71 / $1.08