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Pennsylvania 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
$0.71 / $0.78 / $1.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $3.39
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.66 / $1.66 / $1.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.69
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
$1.78 / $2.45 / $3.72
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.70 / $1.70 / $1.70
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.98 / $1.70
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.68 / $6.92 / $10.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $0.78 / $1.29
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.14
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.69 / $2.69 / $2.69
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $2.29 / $3.31
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.20 / $1.20 / $1.58
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.58 / $1.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.83 / $1.38