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Ohio 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
$1.06 / $1.06 / $1.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $1.06 / $1.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $0.97 / $2.20
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.67 / $2.00 / $2.48
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.84 / $2.17 / $3.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $0.85
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.76 / $0.76 / $1.96
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $0.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $0.99 / $1.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.83 / $1.06