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Idaho 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
Professional
Modifier
Low / Median / High Price
$0.73 / $1.22 / $2.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $0.85
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.95 / $1.46 / $2.40
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $1.59 / $1.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.92 / $2.92 / $3.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $1.17 / $1.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.67 / $0.71 / $1.21