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Washington rates for HCPCS A6262

Wound filler, dry form, per g, not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.56 / $1.29 / $1.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.56 / $0.99
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $85.00 / $90.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $2.22 / $7.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.83 / $3.83 / $3.83
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $1.40 / $1.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.84 / $1.40 / $1.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.00 / $85.00 / $93.50
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $1.29 / $1.34
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.29 / $1.29
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.91 / $0.91 / $0.91
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $1.42 / $1.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.40 / $0.43 / $0.72