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California rates for HCPCS A6254

Specialty Absorptive Dressing Wound Cover 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
$0.45 / $0.50 / $4.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.78 / $4.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.55 / $0.65 / $1.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $0.75 / $1.55
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.78 / $2.49 / $3.57
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.94 / $4.23 / $6.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $0.85
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.67 / $1.84 / $2.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.09 / $3.84
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.39 / $80.00 / $85.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.53 / $17.67 / $18.38
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.21 / $1.67 / $2.35
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $1.83
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.15 / $3.15 / $3.15
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.34 / $1.49 / $1.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.67 / $0.76 / $2.34