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West Virginia 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
$0.92 / $0.92 / $0.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.92 / $1.04 / $1.12
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.84 / $2.50 / $2.92
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $2.00 / $3.87
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 / $8.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.90 / $1.84