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Washington 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
$0.95 / $2.16 / $2.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.52 / $0.95 / $2.25
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.46 / $80.00 / $80.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $1.46 / $17.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $0.85
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.27 / $2.11 / $3.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.27 / $2.17 / $3.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.16 / $1.41 / $1.41
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.34 / $1.63 / $1.84
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.67 / $1.67
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.39 / $1.46 / $2.70
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $1.63 / $1.87
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.42 / $1.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.67 / $0.83 / $1.35
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $0.75 / $1.42