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Indiana 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
$1.43 / $1.43 / $1.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.73 / $1.00 / $1.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.75 / $0.75 / $1.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $0.75 / $1.06
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.67 / $2.17 / $2.50
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $2.00 / $2.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $1.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.47 / $0.83 / $1.21