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Oregon 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
$1.00 / $1.00 / $2.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $0.85
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $2.88 / $151.36
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $1.38 / $2.14
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.55 / $1.86
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.35 / $1.62 / $1.66
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.66 / $1.66
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.02 / $1.51 / $2.29
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $1.58 / $79.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.78 / $1.86 / $1.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.47 / $0.71 / $1.17