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Pennsylvania 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
$0.78 / $0.78 / $1.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.73 / $1.02 / $1.34
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$967.00 / $57,255.43 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.67 / $1.67 / $1.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.96 / $1.96 / $1.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $0.85
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $2.25 / $2.42
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.66 / $6.93 / $9.77
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.78 / $0.78 / $1.30
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $1.02 / $1.58
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $2.40 / $3.30
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.96 / $1.96 / $1.96
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $0.85
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.21 / $1.27 / $1.59
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $1.59 / $1.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.83 / $1.39