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Virginia 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 / $4.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.76 / $1.41
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.93 / $0.93 / $0.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
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
$1.35 / $1.86 / $2.69
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.20 / $1.82
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.93 / $1.41 / $2.51
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $1.10 / $1.12
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.20 / $1.51 / $64.57
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.51 / $64.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.83 / $1.32